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Jessica Lynne Bates, LAT, ATC

Specialist/Technologist, Athletic Trainer in Corpus Christi, TX. Individual provider (NPI-1).

NPI number1982190476
StatusActive
Last updated in NPPESSep 4, 2024

Details

NPI
1982190476
Entity type
Individual (NPI-1)
Name
Jessica Lynne Bates
Credential
LAT, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Jul 8, 2018
Certification date
Sep 4, 2024
Last updated
Sep 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT6013TXYes

Practice location

6300 Ocean Dr
Corpus Christi, TX 78412-5599

Phone 361-825-2207

Mailing address

6300 Ocean Dr # 5820
Corpus Christi, TX 78412-5599

Phone 361-825-2207

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