Jewelle Ruth Jacklen, ATC
NPI #1487496402 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1487496402
- Entity Type
- Individual
- Name
- Jewelle Ruth Jacklen, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 10, 2024
- Last Updated
- Jun 10, 2024
Practice Location
- Address
- 11860 ZEA ST NW APT 306
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-6838
- Phone
- (763) 218-5332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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