Derek Gustovich
Derek Gustovich is an Athletic Trainer in Mineral Ridge, Ohio. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1465 Morris StMineral Ridge, OH 44440-9707
Phone: (330) 766-5630
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1689221004 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 20, 2019 |
| Last updated in NPPES | August 20, 2019 |
| Mailing address | 1465 Morris St, Mineral Ridge, OH 44440-9707 |