Individual
MR. JASON RANDALL VIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
3385 DEXTER CT, SUITE 203, DAVENPORT, IA 52807-3494
(563) 332-9312
Mailing address
421 WALNUT ST, LE CLAIRE, IA 52753-9667
(563) 370-3379
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000711
IA
Other
Enumeration date
03/09/2006
Last updated
03/18/2013
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