Individual
TINA LYNN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 LAFAYETTE ST, ARCHBOLD, OH 43502-1656
(419) 551-1385
Mailing address
1308 BUEHRER ST, ARCHBOLD, OH 43502-1608
(419) 551-1385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000612
OH
2255A2300X
Athletic Trainer
Primary
612
OH
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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