MOLLY JEAN HOVENDICK ATC
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1619480894- Provider Type
- Individual Provider (NPI-1)
- Credentials
- ATC
- Status
- Active
Contact & Location
- Address
- SOUTH DIVISION STREET, FORT LEWIS, WA, 98433
- Phone
- (307) 349-0650
Specialties & Taxonomies
Specialist/Technologist, Athletic Trainer
License: WA #A161600256
Specialist/Technologist, Athletic Trainer
Primary License: OK #1008
All Addresses
MAILING
8569 HIGHWAY 789
LANDER, WY, 825209474