John Russell Straub
John Russell Straub is an Athletic Trainer in Fountain, Colorado. Licensed in Colorado. Registered with an NPI since 2018.
- Licensed in
- CO
- In the registry since
- 2018
Practice location Address checks out
200 Comanche Village DrFountain, CO 80817-1651
Phone: (719) 749-8251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 0002098 (CO) |
|---|
Record details
| NPI number | 1679041735 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 7, 2018 |
| Last updated in NPPES | May 9, 2022 |
| Certification date | May 9, 2022 |
| Mailing address | 200 Comanche Village Dr, Fountain, CO 80817-1651 |
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