Individual
JESSICA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT,ATC
Contact information
Practice address
518 S FOUNTAIN ST, CAPE GIRARDEAU, MO 63703-7410
(630) 303-1921
Mailing address
1544 ORCHARD DR, JACKSON, MO 63755-1176
(630) 303-1921
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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