Seth Tisdale, MS,ATC, LAT,CES

NPI #1386005650 in Deland, Florida

Provider Information

NPI Number
1386005650
Entity Type
Individual
Name
Seth Tisdale, MS,ATC, LAT,CES
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS,ATC, LAT,CES
Enumeration Date
Mar 15, 2016
Last Updated
Mar 15, 2016

Practice Location

Address
421 N WOODLAND BLVD
Address 2
UNIT 8284
City
Deland
State
Florida
ZIP Code
32723-8300
Phone
(386) 822-7029

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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