Individual
TAKUYA SUZUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
400 JONES ST, FAYETTE, IA 52142-9180
(484) 725-7748
Mailing address
400 JONES ST, FAYETTE, IA 52142-9180
(484) 725-7748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
10/29/2020
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