Brenton, Jacky

Brenton, Jacky is an sole proprietor health care provider with primary practice located at 3676 Parker Blvd Ste 310 , Pueblo CO 81008-2214. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Brenton, Jacky can be contacted via phone (719) 595-7780.

Contact Information

Primary practice address
3676 Parker Blvd Ste 310 Pueblo CO 81008-2214
Phone: (719) 595-7780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT.0001926 Colorado

Profile Details

NPI number 1699381244
LBN Legal business name Brenton, Jacky
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2020
Last updated Sep 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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