Individual
JENNY P AHEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, ATC, LAT
Contact information
Practice address
109 SKYLINE DR, WEST LAKE HILLS, TX 78746-3608
(512) 327-9842
Mailing address
109 SKYLINE DR, WEST LAKE HILLS, TX 78746-3608
(512) 327-9842
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1720
TX
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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