Provider Demographics
NPI:1346325206
Name:HESS, JESSICA LYNN (LAT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LYNN
Last Name:HESS
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-9537
Mailing Address - Country:US
Mailing Address - Phone:717-725-6472
Mailing Address - Fax:
Practice Address - Street 1:2110 HORSESHOE RD
Practice Address - Street 2:CONESTOGA VALLEY HIGH SCHOOL
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6006
Practice Address - Country:US
Practice Address - Phone:717-392-5231
Practice Address - Fax:717-392-5226
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0030222255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer