National Provider Identifier
Jennifer Tess Fenwick, ATC
Jennifer Tess Fenwick, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (631) 204-7988.
Profile Overview
- NPI
- 1578207312
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- April 27, 2022
- Last Updated
- April 27, 2022
Practice Location
- 512 N Campus
- Ithaca, NY 14853-6007
Phone: (631) 204-7988
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1578207312
- Entity Type
- Individual
- Last Name
- Fenwick
- First Name
- Jennifer
- Middle Name
- Tess
- Credential
- ATC
- Mailing Street Address
- 512 N Campus
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14853-6007
- Mailing Country
- US
- Practice Street Address
- 512 N Campus
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-6007
- Practice Country
- US
- Practice Phone
- (631) 204-7988
- Enumeration Date
- April 27, 2022
- Last Updated
- April 27, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 27, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)