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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY ALLEN DIXON, ATC

Active Sole Proprietor

JEREMY ALLEN DIXON, ATC is a Athletic Trainer healthcare provider located in KINGWOOD, West Virginia. NPI 1215419759 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · KINGWOOD, WV

Registration Details

NPI Number
1215419759
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2018 (7.9127620078781 yrs)
Last Updated
Aug 31, 2018
License
AT001143 (WV)
Sole Proprietor
Yes

Practice Information

Address
150 MEMORIAL DR
KINGWOOD, WV, 265371141
Browse WV providers · Browse ZIP 26537
Phone
3043291400
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.