Individual
MISS JENNIFER N SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT, CSCS
Contact information
Practice address
1563 N STATE ST, GREENFIELD, IN 46140-1066
(317) 467-5700
Mailing address
2313 E 5TH ST, ANDERSON, IN 46012-3619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001826A
IN
Other
Enumeration date
10/02/2008
Last updated
09/07/2012
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