Individual
JILL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
205 E B ST, JENKS, OK 74037-3906
(918) 299-4415
(918) 298-0337
Mailing address
205 E B ST, JENKS, OK 74037-3906
(918) 299-4415
(918) 298-0337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OK
Other
Enumeration date
02/04/2020
Last updated
04/26/2024
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