Individual
RANDY ITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COLLEGE AND MAIN, BEXLEY, OH 43209-7812
(614) 236-6700
Mailing address
5312 MEADOW GROVE DR, GROVE CITY, OH 43123-8778
(614) 551-9636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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