Individual
DR. JEREMY HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC, LAT
Contact information
Practice address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 248-1374
Mailing address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 248-1374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001223
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
UT
Enumeration date
07/18/2006
Last updated
06/01/2020
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