Healthcare Provider Details

I. General information

NPI: 1922493626
Provider Name (Legal Business Name): NEIL HURFORD MSAT, AT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 03/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4665 HOOVER RD
GROVE CITY OH
43123-8621
US

IV. Provider business mailing address

1572 CITYVIEW CT
GROVE CITY OH
43123-8029
US

V. Phone/Fax

Practice location:
  • Phone: 740-593-1000
  • Fax:
Mailing address:
  • Phone: 317-289-8376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: