Individual
MR. NATHAN CHARLES BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
32000 CHAGRIN BLVD, PEPPER PIKE, OH 44124-5922
(216) 831-8600
Mailing address
5156 THORNBURY RD, LYNDHURST, OH 44124-1255
(440) 858-7745
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003369
OH
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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