JILL RENEE KISTLER

WARREN, OH
NPI1093815748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  000622)
Enumeration Date2006-09-23
Last Update Date2007-07-08
Business Address
-- JILL RENEE KISTLER ATC
1296 TOD PL NW SUITE 208
WARREN, OH 44485-2474
Phone number: 330-306-5018
Mailing Address
-- JILL RENEE KISTLER ATC
1399 MILLIKIN PL NE
WARREN, OH 44483-4451
Phone number: 330-372-4580