Individual
JED ARSENEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LAT, ATC
Contact information
Practice address
928 BARTON AVENUE, TERRE HAUTE, IN 47803
(812) 243-1478
Mailing address
928 BARTON AVENUE, TERRE HAUTE, IN 47803
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001145A
IN
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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