NPI 1003017260

Jennifer Lynn Holt, ATC

Practitioner Athletic Trainer Moberly, MO

Practice location

Address: 1515 Union Ave, Moberly, MO 65270-9407
Phone: (660) 269-3189
Mailing address: 100 Jamar St APT 5, Moberly, MO 65270-1906

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2005002981 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1003017260
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2007
Record last updated: 17 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.