Individual
JESSICA LYNN EMLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 BRANIGIN BLVD, FRANKLIN, IN 46131-2623
(317) 738-8123
Mailing address
961 FOXTAIL DR, FRANKLIN, IN 46131-7146
(317) 738-8123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001186A
IN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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