Individual
TIMOTHY SKUDLAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, PES
Contact information
Practice address
955 HOSFORD RD, GALION, OH 44833-9325
(419) 468-7059
Mailing address
955 HOSFORD RD, GALION, OH 44833-9325
(419) 468-7059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003700
OH
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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