Individual
JESSICA REINECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W6562 CEDAR LN, GREENVILLE, WI 54942-9652
(920) 209-9936
Mailing address
W6562 CEDAR LN, GREENVILLE, WI 54942-9652
(920) 209-9936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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