MR. Todd Michael Jenkins, LAT, ATC
NPI #1194048181 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1194048181
- Entity Type
- Individual
- Name
- MR. Todd Michael Jenkins, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Mar 5, 2010
- Last Updated
- Mar 5, 2010
Practice Location
- Address
- 7601 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4133
- Phone
- (260) 436-6326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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