Individual
LIAM CHAYSE CASTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 SERVICE RD, BIDWELL, OH 45614-8021
(740) 645-8274
Mailing address
101 SERVICE RD, BIDWELL, OH 45614-8021
(740) 645-8274
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005875
OH
Other
Enumeration date
03/22/2017
Last updated
05/17/2019
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