NPI 1003332651
Jessica L Walz
Practice location
- Address
- 9235 Grossman Rd, Manchester, MI 48158
- Phone
- (313) 350-0812
- Mailing address
- 9235 Grossman Rd, Manchester, MI 48158-8613
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1003332651
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Aug 2017
- Record last updated
- 21 Jul 2022
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.