NPI 1053676551

Jessie Lee Zucnick-Kimbugwe, ATC

Practitioner Athletic Trainer Normal, AL

Practice location

Address: 4900 Meridian St, Normal, AL 35762
Phone: (256) 372-8458
Fax: (256) 372-8480
Mailing address: 3806 Force Dr NW, Huntsville, AL 35810-2302

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 914 (AL)

Other Specialist/Technologist providers in Alabama →

Registry record

NPI: 1053676551
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2012
Record last updated: 10 Jul 2012

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.