Individual
JADEN WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2000
Mailing address
475 N 5TH ST, PHOENIX, AZ 85004-2157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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