Individual
JOSHUA ROBERT JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, EMT-B
Contact information
Practice address
509 E 13TH ST, LOVELAND, CO 80537-4935
(260) 602-2745
Mailing address
509 E 13TH ST, LOVELAND, CO 80537-4935
(260) 602-2745
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
052249
CO
2255A2300X
Athletic Trainer
Primary
917
CO
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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