Individual
JEREMIAH SETH SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
1699 HARRISON ST, BATESVILLE, AR 72501-7302
(870) 262-1271
Mailing address
195 ANTIOCH RD, CAVE CITY, AR 72521-9410
(870) 283-4397
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 365
AR
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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