JASON WILLIAM GOOD

ANDERSON, IN
NPI1780658310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  360001247A)
Enumeration Date2006-02-13
Last Update Date2007-07-08
Business Address
-- JASON WILLIAM GOOD ATC
1100 E 5TH ST
ANDERSON, IN 46012-3462
Phone number: 765-641-4006
Mailing Address
-- JASON WILLIAM GOOD ATC
1920 E 5TH ST
ANDERSON, IN 46012-3525
Phone number: 937-768-2410