MRS. Jennifer Lynn Staskiewicz, ATC
NPI #1487774212 in Charleston, Illinois
Provider Information
- NPI Number
- 1487774212
- Entity Type
- Individual
- Name
- MRS. Jennifer Lynn Staskiewicz, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 COPPERFIELD LN
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-3600
- Phone
- (217) 246-6429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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