Individual
KRISTIN JASKOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-3392
(910) 907-6000
Mailing address
8919 W MINCH DR APT 208, MINOCQUA, WI 54548-9785
(262) 358-1263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2192-39
WI
246Z00000X
Other Specialist/Technologist
2603
MN
Other
Enumeration date
12/10/2014
Last updated
08/11/2022
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