Beau Jenkins, ATC/LAT
NPI #1265830632 in Senatobia, Mississippi
Provider Information
- NPI Number
- 1265830632
- Entity Type
- Individual
- Name
- Beau Jenkins, ATC/LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC/LAT
- Enumeration Date
- Dec 16, 2014
- Last Updated
- Dec 16, 2014
Practice Location
- Address
- 300 NORTHWEST PLZ
- Address 2
- 164
- City
- Senatobia
- State
- Mississippi
- ZIP Code
- 38668-1746
- Phone
- (662) 812-1168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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