Individual
JEDIDIAH STRATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
800 5TH AVE, FORT WORTH, TX 76104-7300
(817) 878-5300
Mailing address
114 CARLSBAD DR, MANSFIELD, TX 76063-8010
(903) 570-3393
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4389
TX
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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