NPI 1235350737

Paula Jean Jennings, ATCLAT

Practitioner Athletic Trainer Fulton, MO

Practice location

Address: 1 University Ave, Fulton, MO 65251
Phone: (573) 592-1638
Mailing address: 506 Canterbury Dr., Fulton, MO 65251

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2002020406 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1235350737
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2007
Record last updated: 8 Jul 2007

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.