Cody Glenn Jenschke, ATC, LAT

NPI #1083990568 in The Colony, Texas

Provider Information

NPI Number
1083990568
Entity Type
Individual
Name
Cody Glenn Jenschke, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Oct 27, 2011
Last Updated
Oct 27, 2011

Practice Location

Address
5761 BEDFORD LN
State
Texas
ZIP Code
75056-3705
Phone
(469) 948-3492

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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