Jessica Marie Eichorst, ATC
Specialist/Technologist, Athletic Trainer in Elkhart, IN. Individual provider (NPI-1).
NPI number1639445786
StatusActive
Last updated in NPPESMar 22, 2012
Details
- NPI
- 1639445786
- Entity type
- Individual (NPI-1)
- Name
- Jessica Marie Eichorst
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2012
- Last updated
- Mar 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 36001789A | IN | Yes |
Practice location
2310 California RdElkhart, IN 46514-1228
Phone 574-264-0791 · Fax 574-262-9650
Mailing address
2310 California RdElkhart, IN 46514-1228
Phone 574-264-0791 · Fax 574-262-9650
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All 12 Athletic Trainer providers in Elkhart · All 1,926 providers in Elkhart
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