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NPI Code Detail

MEDICARE: JENNIFER ANN TORGERSON MS, ATC, LAT

MEDICARE:   JENNIFER ANN TORGERSON  MS, ATC, LAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1982824165
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ANN TORGERSON MS, ATC, LAT
Provider Business Mailing Address
First Line : 7514 COBBLESTONE HILL CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-5231
Country : US
Telephone Number : 360-224-1986
Fax Number :
Provider Business Practice Location Address
First Line : 6510 HINSON ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-4413
Country : US
Telephone Number : 360-224-1986
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2007
Last Update Date : 06/26/2014

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Directions to “ JENNIFER ANN TORGERSON MS, ATC, LAT” Practice Location

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