Individual
JENNIFER LYNN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1500 PROVIDENT DR, SUITE C, WARSAW, IN 46580-3297
(574) 372-7671
(574) 372-7625
Mailing address
1500 PROVIDENT DR, SUITE C, WARSAW, IN 46580-3297
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001274A
IN
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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