Ian Christopher Modd
Ian Christopher Modd is an Athletic Trainer in Massillon, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1607 Windsor Rd NEMassillon, OH 44646-4175
Phone: (234) 207-1698
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1629845516 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2023 |
| Last updated in NPPES | December 11, 2023 |
| Certification date | December 11, 2023 |
| Mailing address | 1607 Windsor Rd Ne, Massillon, OH 44646-4175 |
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