NPI 1033533922

Jacqueline Diane Ross, ATC

Practitioner Athletic Trainer Little Rock, AR

Practice location

Address: 12509 Pleasant Forest Dr, Little Rock, AR 72212-2214
Phone: (479) 200-0417

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT 604 (AR)

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1033533922
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2014
Record last updated: 12 Feb 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.