Elishia Jackson, LAT, ATC
NPI #1275068892 in Yelm, Washington
Provider Information
- NPI Number
- 1275068892
- Entity Type
- Individual
- Name
- Elishia Jackson, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Apr 21, 2017
- Last Updated
- Apr 21, 2017
Practice Location
- Address
- 417 W. YELM AVE.
- City
- Yelm
- State
- Washington
- ZIP Code
- 98597
- Phone
- (360) 458-2444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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