Individual
JENNIFER ALIDA BASSETT-PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-1100
Mailing address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-1100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000098
MI
Other
Enumeration date
11/08/2011
Last updated
01/15/2014
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