Individual
ALEC UTTECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2787 MATTHEW LN, MEDINA, OH 44256-7955
(330) 321-5888
Mailing address
2787 MATTHEW LN, MEDINA, OH 44256-7955
(330) 321-5888
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
01/25/2019
Last updated
11/09/2019
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