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Jessica Austin, LAT,ATC

Specialist/Technologist, Athletic Trainer in Cape Girardeau, MO. Individual provider (NPI-1).

NPI number1720635014
StatusActive
Last updated in NPPESAug 21, 2019

Details

NPI
1720635014
Entity type
Individual (NPI-1)
Name
Jessica Austin
Credential
LAT,ATC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 21, 2019
Last updated
Aug 21, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

518 S Fountain St
Cape Girardeau, MO 63703-7410

Phone 630-303-1921

Mailing address

1544 Orchard Dr
Jackson, MO 63755-1176

Phone 630-303-1921

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Athletic Trainer providers in Cape Girardeau, MO

All 49 Athletic Trainer providers in Cape Girardeau · All 2,422 providers in Cape Girardeau

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