JEREMY SHANE LEWIS

TEMPE, AZ
NPI1770716284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2009-08-31
Last Update Date2009-08-31
Business Address
-- JEREMY SHANE LEWIS ATC
1025 E BROADWAY RD STE 100
TEMPE, AZ 85282-1599
Phone number: 480-829-0217
Mailing Address
-- JEREMY SHANE LEWIS ATC
1025 E BROADWAY RD STE 100
TEMPE, AZ 85282-1599
Phone number: 480-829-0217