Individual
JESSICA LEIGH HUTZUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, MED
Contact information
Practice address
98 LEE ROAD 2148, SMITHS STATION, AL 36877-2123
(910) 987-0511
Mailing address
98 LEE ROAD 2148, SMITHS STATION, AL 36877-2123
(910) 987-0511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1367
AL
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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