Individual
MR. JEFFREY LYN FITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6350 GLENWAY AVE, CINCINNATI, OH 45211-6378
(513) 662-7257
Mailing address
5418 PINALLAS CT, CINCINNATI, OH 45238-5237
(513) 347-7775
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-2116
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841081
NATA MEMBER #
OH
01
—
AT-02116
STATE LICENSE #
OH
Enumeration date
06/26/2006
Last updated
07/08/2007
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