Individual
MRS. JESSICA ROSE BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5246 N ROYAL DR, TRAVERSE CITY, MI 49684-6984
(231) 929-0303
Mailing address
4311 CAROLANE, KINGSLEY, MI 49649-8702
(231) 735-1146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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