NPI 1083990568

Cody Glenn Jenschke, ATCLAT

Practitioner Athletic Trainer The Colony, TX

Practice location

Address: 5761 Bedford Ln, The Colony, TX 75056-3705
Phone: (469) 948-3492

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT3225 (TX)

Other Specialist/Technologist providers in Texas →

Registry record

NPI: 1083990568
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2011
Record last updated: 27 Oct 2011

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.