Individual
JEFFREY CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2501 4TH AVE, CANYON, TX 79016-0001
(314) 304-0902
Mailing address
47 VALLEY VIEW RD APT 338C, CANYON, TX 79015-3237
(314) 304-0902
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000018557
—
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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