Individual
JODY R DUECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
19600 N PARK BLVD, SHAKER HEIGHTS, OH 44122-1825
(216) 320-8796
Mailing address
1477 TWINSBURG RD, TWINSBURG, OH 44087-2395
(330) 620-4256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000007511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000007511
—
OH
Enumeration date
09/11/2018
Last updated
09/11/2018
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