Jenna Lynn Freeman, ATC, LAT
Specialist/Technologist, Athletic Trainer in Cumming, GA. Individual provider (NPI-1).
NPI number1003129263
StatusActive
Last updated in NPPESJul 11, 2012
Details
- NPI
- 1003129263
- Entity type
- Individual (NPI-1)
- Name
- Jenna Lynn Freeman
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2010
- Last updated
- Jul 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT001886 | GA | Yes |
Practice location
1100 Northside Forsyth DrSuite 440
Cumming, GA 30041-6012
Phone 678-341-6790 · Fax 678-341-6791
Mailing address
1100 Northside Forsyth DrSuite 440
Cumming, GA 30041-6012
Phone 678-341-6790 · Fax 678-341-6791
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