NPI 1003325275

Jenah Tracy

Practitioner Athletic Trainer Jacksonville, AL

Practice location

Address: 700 Pelham Rd N, Jacksonville, AL 36265-1602
Phone: (239) 227-9632
Mailing address: 213 Dent Dr, Naples, FL 34112-5254

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1952 (AL)

Other Specialist/Technologist providers in Alabama →

Registry record

NPI: 1003325275
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2017
Record last updated: 20 Sep 2017

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.