Jackson Randall Therrien
NPI #1871079442 in Decatur, Mississippi
Provider Information
- NPI Number
- 1871079442
- Entity Type
- Individual
- Name
- Jackson Randall Therrien
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jul 17, 2018
- Last Updated
- Jul 17, 2018
Practice Location
- Address
- 224 CROWS NEST CIR
- City
- Decatur
- State
- Mississippi
- ZIP Code
- 39327-9186
- Phone
- (601) 678-6199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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