Mark Lawrence Hibbard
Mark Lawrence Hibbard is an Athletic Trainer in Jackson, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
120 W Pearl AveJackson, WY 83002
Phone: (307) 734-9129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1063920965 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 14, 2018 |
| Last updated in NPPES | January 14, 2018 |
| Mailing address | Po Box 7791, Jackson, WY 83002-7791 |