NPI 1891105011

Jenna Walker, ATCLAT

Practitioner Athletic Trainer Douglas, WY

Practice location

Address: 1701 Hamilton St, Douglas, WY 82633-2781
Phone: (307) 340-0631
Mailing address: 36 Lakeview Dr, Douglas, WY 82633-9001

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 009 (WY)

Other Specialist/Technologist providers in Wyoming →

Registry record

NPI: 1891105011
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Apr 2014
Record last updated: 28 Apr 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.