Individual
BRIAN RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
(937) 342-5600
(937) 342-5610
Mailing address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
(937) 342-5600
(937) 342-5610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001788
OH
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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