Individual
JESSICA GARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
571 MICHAEL DR, SHERIDAN, WY 82801-2959
(307) 752-7161
Mailing address
571 MICHAEL DR, SHERIDAN, WY 82801-2959
(307) 752-7161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
152
WY
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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