Individual
MR. JEREMY J BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC
Contact information
Practice address
141 MOBY ARENA, 0120 ATHLETIC TRAINING, FORT COLLINS, CO 80523-0120
(970) 491-0272
Mailing address
1025 CUNNINGHAM DR, FORT COLLINS, CO 80526-5931
(970) 491-0272
(970) 491-6167
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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