JODY POWELL

MONROE, LA
NPI1013514710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200402)
Enumeration Date2020-10-06
Last Update Date2020-10-06
Business Address
JODY POWELL ATC, LAT, CCMA, CES
1600 ARIZONA AVE
MONROE, LA 71202-3602
Phone number: 318-387-2932
Mailing Address
JODY POWELL ATC, LAT, CCMA, CES
139 VICTORY LN
WEST MONROE, LA 71291-1739
Phone number: 318-372-2612