Jaclyn Stucker, MA, LAT, ATC

NPI #1407213754 in Geneva, New York

Provider Information

NPI Number
1407213754
Entity Type
Individual
Name
Jaclyn Stucker, MA, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MA, LAT, ATC
Enumeration Date
Jan 18, 2016
Last Updated
Jan 18, 2016

Practice Location

Address
300 PULTENEY ST
Address 2
BRISTOL GYMNASIUM
City
Geneva
ZIP Code
14456-3304
Phone
(315) 481-5698

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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