Jasyn Scott Chidester, A.T.C.
Specialist/Technologist, Athletic Trainer in Palo Alto, CA. Individual provider (NPI-1).
NPI number1053847475
StatusActive
Last updated in NPPESFeb 1, 2018
Details
- NPI
- 1053847475
- Entity type
- Individual (NPI-1)
- Name
- Jasyn Scott Chidester
- Credential
- A.T.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2017
- Last updated
- Feb 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
180 El Camino RealSuite M384, Office 229
Palo Alto, CA 94304
Phone 650-885-6300
Mailing address
4003 Cheeney StSanta Clara, CA 95054-2522
Phone 650-504-0048
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