Individual
JESSICA M JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 879-2204
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 879-2204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
001566-01
NY
2255A2300X
Athletic Trainer
A161036065
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001566-01
NY STATE LICENSE
NY
01
—
A161036065
WA STATE ATC LICENSE
WA
Enumeration date
07/30/2009
Last updated
03/27/2025
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