NPI 1154720696

Jaclyn Anderson, ATC

Practitioner Athletic Trainer Salisbury, MD

Practice location

Address: 1101 Camden Ave, Salisbury, MD 21801-6837
Phone: (410) 422-3890
Mailing address: 1008 Arthur CT Apartment 455, Salisbury, MD 21804-6560

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A0000626 (MD)

Other Specialist/Technologist providers in Maryland →

Registry record

NPI: 1154720696
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2014
Record last updated: 21 Aug 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.