Jade Heather Lewis
Jade Heather Lewis is an Athletic Trainer in Frostburg, Maryland. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
101 Braddock RdFrostburg, MD 21532-2303
Phone: (240) 522-5231
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1053035618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 28, 2022 |
| Last updated in NPPES | September 28, 2022 |
| Certification date | September 28, 2022 |
| Mailing address | 101 Braddock Rd, Frostburg, MD 21532-2303 |
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Omowunmi Jolaoso, ATC, CSCS
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MS. Danielle Elizabeth Lueck, MS, LAT, NASM-PES
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Jeffrey Oakley
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