Individual
JEFFREY SCOTT DEITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC, CSCS, CES,
Contact information
Practice address
7753 SUMMIT ROCK PT, COLUMBUS, OH 43235-8956
(303) 669-2733
Mailing address
7753 SUMMIT ROCK PT, COLUMBUS, OH 43235-8956
(303) 669-2733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002862
OH
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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