JASON JOHN TERRY

MANITOWOC, WI
NPI1508829649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  646-039)
Enumeration Date2006-04-10
Last Update Date2007-07-08
Business Address
-- JASON JOHN TERRY ATC, LAT, CSCS
1650 S 41ST ST
MANITOWOC, WI 54220-7316
Phone number: 920-320-3124
Mailing Address
-- JASON JOHN TERRY ATC, LAT, CSCS
718 S 29TH ST
MANITOWOC, WI 54220-4302
Phone number: 920-860-1269
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