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Individual

JENNIFER MACFADYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1324 LOVERS LANE, JUSTIN HALL 240, MANHATTAN, KS 66506
(785) 532-0466
Mailing address
312 KNOXBERRY DR, MANHATTAN, KS 66502-7609
(630) 712-5366

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00829
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
KS
Enumeration date
08/16/2018
Last updated
08/16/2018
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