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Jillian Hacker, ATC
NPI 1962989640 · on the registry since 2018
Practice
- Address
- 3946 Ice Way
Fort Wayne, IN 46805 - Phone
- (260) 444-2788
- Clinicians at this address
- 91
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana