JENNA LYNN DECRAENE

FORT WAYNE, IN
NPI1902860141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001248A)
Enumeration Date2006-04-14
Last Update Date2022-08-27
Business Address
Mrs. JENNA LYNN DECRAENE A.T.C., LAT
7920 W JEFFERSON BLVD SUITE 100
FORT WAYNE, IN 46804-4168
Phone number: 260-459-0917
Mailing Address
Mrs. JENNA LYNN DECRAENE A.T.C., LAT
952 SKILLET AVE
HUNTERTOWN, IN 46748-0109
Phone number: 260-515-0065