Individual
MOLLY JEAN HOVENDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
SOUTH DIVISION STREET, FORT LEWIS, WA 98433
(307) 349-0650
Mailing address
8569 HIGHWAY 789, LANDER, WY 82520-9474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1008
OK
2255A2300X
Athletic Trainer
A161600256
WA
Other
Enumeration date
11/10/2017
Last updated
12/09/2025
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