National Provider Identifier

Jackie Lynn Fritz

Jackie Lynn Fritz is listed in the NPPES registry with a primary specialty of Athletic Trainer in Rochester, NY and a listed phone number of (585) 683-6595.

NPI 1922546563Rochester, NYAthletic Trainer

Profile Overview

NPI
1922546563
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
February 02, 2017
Last Updated
May 11, 2017

Practice Location

  • 415 Edgecreek Trl
  • Rochester, NY 14609-1874

Phone: (585) 683-6595

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1922546563
Entity Type
Individual
Last Name
Fritz
First Name
Jackie
Middle Name
Lynn
Mailing Street Address
415 Edgecreek Trl
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-1874
Mailing Country
US
Mailing Phone
(585) 683-6595
Practice Street Address
415 Edgecreek Trl
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-1874
Practice Country
US
Practice Phone
(585) 683-6595
Enumeration Date
February 02, 2017
Last Updated
May 11, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)