Individual
JULIE TIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6871 ARNOLD AVE, ENON, OH 45323-1704
(937) 605-1375
Mailing address
6871 ARNOLD AVE, ENON, OH 45323-1704
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003810
OH
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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