Individual
JARED YAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
255 N MAIN ST, BRISTOL, CT 06010-4972
(186) 058-9188
Mailing address
45 KNOLLWOOD DR, BRISTOL, CT 06010-2436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000702
CT
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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