Individual
MR. JEFFERY LANDON HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
310 E MARKET ST, TIFFIN, OH 44883-2434
(419) 448-2519
(419) 448-2007
Mailing address
1962 S STATE ROUTE 100, TIFFIN, OH 44883-3614
(419) 448-2519
(419) 448-2007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002193
OH
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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