Individual
COLE EDWARD DEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
13720 STATE ROUTE 292, KENTON, OH 43326-9064
(567) 674-4267
Mailing address
13720 STATE ROUTE 292, KENTON, OH 43326-9064
(567) 674-4267
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006979
OH
2255A2300X
Athletic Trainer
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2023
Last updated
06/10/2024
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