National Provider Identifier
Jaclyn Stucker, MA, LAT, ATC
Jaclyn Stucker, MA, LAT, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Geneva, NY and a listed phone number of (315) 481-5698.
Profile Overview
- NPI
- 1407213754
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- January 18, 2016
- Last Updated
- January 18, 2016
Practice Location
- 300 Pulteney St
- Bristol Gymnasium
- Geneva, NY 14456-3304
Phone: (315) 481-5698
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1407213754
- Entity Type
- Individual
- Last Name
- Stucker
- First Name
- Jaclyn
- Credential
- MA, LAT, ATC
- Mailing Street Address
- 300 Pulteney St
- Mailing Address Line 2
- Bristol Gymnasium
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-3304
- Mailing Country
- US
- Mailing Phone
- (315) 481-5698
- Practice Street Address
- 300 Pulteney St
- Practice Address Line 2
- Bristol Gymnasium
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-3304
- Practice Country
- US
- Practice Phone
- (315) 481-5698
- Enumeration Date
- January 18, 2016
- Last Updated
- January 18, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)