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Mr. Jeremy Ray Tjarks, MS,LAT,ATC
Other Specialist/Technologist in Springfield, Missouri
NPI 1992063697

Jeremy Ray Tjarks is a Other Specialist/Technologist based in Springfield, MO. Jeremy Ray Tjarks practices in Springfield, MO and has the professional credentials of MS,LAT,ATC. The NPI Number for Jeremy Ray Tjarks is 1992063697 and holds a License No. 2009024749 (Missouri).

The current practice location address for Jeremy Ray Tjarks is 2135 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-7990.

Location: 2135 S Fremont Ave, Springfield, MO, 65810-2298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992063697
Provider Name
Jeremy Ray Tjarks
Credential
MS,LAT,ATC
Provider Entity Type
Individual
Gender
Male
Address
2135 S Fremont Ave, Springfield, MO, 65810-2298
Phone Number
417-820-7990
Fax Number
Provider Enumeration Date
05/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020602071 01 NATIONAL ATHLETIC TRAINERS ASSOCIATION BOARD OF CERTIFICATION NUMBER
2009024749 01 MO MISSOURI STATE BOARD OF LICENSER
institution
Provider Business Practice Location Address Details
Address
2135 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2239
Phone Number
417-820-7990
Fax Number
person
Provider Business Mailing Address Details
Address
2135 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2239
Phone Number
417-820-7990
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
2009024749 (Missouri)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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