Individual
JENNIFER RAYBERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1001 S CEDAR ST, OTTAWA, KS 66067
(785) 248-2627
(785) 229-1015
Mailing address
430 W 9TH ST, OTTAWA, KS 66067
(785) 979-6317
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00227
KS
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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