JEFFERSON JACKSON WETHERINGTON, MS, AT, ATC, OTC
Technologists at Lake Dr, Grand Rapids, MI

License number
Michigan 2601001331
Category
Restorative Service Providers
Type
Athletic Trainer
License number
Michigan AL 2738
Category
Restorative Service Providers
Type
Athletic Trainer
License number
Michigan AT468
Category
Restorative Service Providers
Type
Athletic Trainer
License number
Michigan 10160747
Category
Restorative Service Providers
Type
Athletic Trainer
License number
Michigan #13-0839
Category
Technologists
Type
Specialist/Technologist, Other
Address
Address
4100 Lake Dr SE SUITE 300, Grand Rapids, MI 49546
Phone
(616) 447-9996
(904) 819-6493
National Provider ID: 1992030803
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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