Provider Demographics
NPI:1730140443
Name:KESLER, JENNNIFER ELENA (ATC)
Entity type:Individual
Prefix:MS
First Name:JENNNIFER
Middle Name:ELENA
Last Name:KESLER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 LILLICK DR
Mailing Address - Street 2:APT. 223
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-3242
Mailing Address - Country:US
Mailing Address - Phone:707-498-1285
Mailing Address - Fax:
Practice Address - Street 1:201 ALMOND AVE
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-2206
Practice Address - Country:US
Practice Address - Phone:650-960-8887
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer