NPI 1013324516
Jessica Iver, ATCLAT
Practice location
- Address
- 119 Watson Plz, Saint Louis, MO 63126-1962
- Phone
- (314) 961-3787
- Fax
- (314) 961-0974
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1013324516
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jul 2014
- Record last updated
- 16 Jul 2014
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.