Individual
JENA R SUFFEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DHSC, AT, CSCS
Contact information
Practice address
310 E MARKET ST, TIFFIN, OH 44883-2434
(419) 448-2008
(419) 448-2007
Mailing address
310 E MARKET ST, TIFFIN, OH 44883-2434
(419) 448-2008
(419) 448-2007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT. 003679
OH
Other
Enumeration date
03/27/2012
Last updated
06/15/2020
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