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Jalyn Rutledge

Specialist/Technologist, Athletic Trainer in Pullman, WA. Individual provider (NPI-1).

NPI number1164039079
StatusActive
Last updated in NPPESSep 25, 2020

Details

NPI
1164039079
Entity type
Individual (NPI-1)
Name
Jalyn Rutledge
Sex
Female
Sole proprietor
No
Enumeration date
Sep 24, 2020
Certification date
Sep 25, 2020
Last updated
Sep 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer61088729WAYes

Practice location

Bohler Athletic Complex Cougar Way - Wsu
Pullman, WA 99164-0001

Phone 800-462-6847

Mailing address

Po Box 641602p
Pullman, WA 99164-1602

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