Individual
JENNIFER COLLEEN DIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC, LMT
Contact information
Practice address
14100 FRANKLIN BLVD, LAKEWOOD, OH 44107-4516
(216) 272-3469
Mailing address
2479 TREMONT AVE, CLEVELAND, OH 44113-4650
(216) 272-3469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1144
OH
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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