JEREMY ALLEN DIXON

KINGWOOD, WV
NPI1215419759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV  AT001143)
Enumeration Date2018-08-31
Last Update Date2018-08-31
Business Address
JEREMY ALLEN DIXON ATC
150 MEMORIAL DR
KINGWOOD, WV 26537-1141
Phone number: 304-329-1400
Mailing Address
JEREMY ALLEN DIXON ATC
49 MILFORD LN
KINGWOOD, WV 26537-8310
Phone number: