Individual
JASON WILLIAM GOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1100 E 5TH ST, ANDERSON, IN 46012-3462
(765) 641-4006
Mailing address
1920 E 5TH ST, ANDERSON, IN 46012-3525
(937) 768-2410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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