Jamie Destache
NPI #1558748780 in Stevens Point, Wisconsin
Provider Information
- NPI Number
- 1558748780
- Entity Type
- Individual
- Name
- Jamie Destache
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Apr 27, 2015
- Last Updated
- Aug 8, 2016
Practice Location
- Address
- 2050 4TH AVE
- City
- Stevens Point
- State
- Wisconsin
- ZIP Code
- 54481-1910
- Phone
- (262) 527-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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