Individual
JEFFREY TYLER BORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
410 WOODY HAYES DR, COLUMBUS, OH 43210-1104
(734) 255-8680
Mailing address
10680 RED MAPLE DR, PLYMOUTH, MI 48170-3264
(734) 255-8680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005367
OH
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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