Individual
JORY WALTHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSMS, ACSM-EP
Contact information
Practice address
4545 E DOWNING ST, MESA, AZ 85205-6319
(480) 359-8385
Mailing address
4545 E DOWNING ST, MESA, AZ 85205-6319
(480) 359-8385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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