Individual
JILL HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1450 W ALABAMA, RUSTON, LA 71272-0001
(318) 257-4789
Mailing address
PO BOX 3156, SPORTS MEDICINE, RUSTON, LA 71272-0001
(318) 257-4789
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200503
LA
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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