Individual
SAMUEL THOMAS TEDTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
GREAT AMERICAN BALL PARK, 100 JOE NUXHALL WAY, CINCINNATI, OH 45202
(502) 767-3404
Mailing address
2009 GRASMERE DR, LOUISVILLE, KY 40205-1507
(502) 767-3404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7750
TX
Other
Enumeration date
01/23/2018
Last updated
04/10/2020
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