Theo Decout Valid NPI
Individual provider · Athletic Trainer · Hayward, CA
- NPI
- 1730925850
- Type
- Individual (Type 1)
- Primary specialty
- Athletic Trainer (Specialist/Technologist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2255A2300X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-07-08
- Last updated
- 2024-07-08
Practice location
28826 Bailey Ranch Rd
Hayward, CA 94542-2169
(510) 901-9216