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JESSICA LEIGH HUTZUL ATC, LAT, MED

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1669989612

Individual Registrant:
 JESSICA LEIGH HUTZUL ATC, LAT, MED
Gender: F
Sole Proprietor

Location and contact information for practice:
98 LEE ROAD 2148  SMITHS STATION, AL 36877-2123 US
Tel: 910-987-0511  Fax: --

Contact information for business:
98 LEE ROAD 2148  SMITHS STATION, AL 36877-2123 US
Tel: 910-987-0511  Fax: --

Registration Information:
NPI: 1669989612
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
AL1367

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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