Individual
JESSICA GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, SCATA
Contact information
Practice address
9200 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9121
(407) 712-4580
Mailing address
9200 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9121
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1711
SC
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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