Individual
KEITH A TEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
120 COLEMAN'S CROSSING BLVD., MARYSVILLE, OH 43040
(937) 578-7841
Mailing address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
Other
Enumeration date
09/17/2009
Last updated
06/03/2020
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