Individual
SPENCER BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
7025 STATE ROUTE 61 N, SHELBY, OH 44875
(419) 512-7795
Mailing address
7025 STATE ROUTE 61 N, SHELBY, OH 44875-9590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005595
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
07/09/2015
Last updated
06/07/2018
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