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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSIE BOLLBACK, ATC, LAT

Active

JESSIE BOLLBACK, ATC, LAT is a Athletic Trainer healthcare provider located in DAVIE, Florida. NPI 1558746305 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · DAVIE, FL

Registration Details

NPI Number
1558746305
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2015 (11.024312848722 yrs)
Last Updated
Feb 11, 2021

Practice Information

Address
3301 COLLEGE AVE
DAVIE, FL, 333147796
Browse FL providers · Browse ZIP 33314
Phone
9543369858
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DAVIE, FL

Name Credential NPI
MR. TROY C. MAURER A.T.,C 1205800497
MR. DUSTIN RORY GATENS ATC, LAT 1033249776
MR. STEVEN J PATTERSON ATC 1710019807
MR. KEVIN PETER O'NEILL M.S., A.T.C. 1023135308
AMY JO GATENS MS, ATC, LAT 1770806085
MR. JASON PALMATEER ATC 1962819581
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.