Derek Bodo

Athletic Trainer · Youngstown, OH

Individual Active NPI

NPI number 1750851960

Practice location

1 University PLZ
Youngstown, OH 44555-0001
Phone
(330) 941-9000

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NPI record

NPI
1750851960
Entity type
Individual (Type 1)
Enumeration date
November 30, 2018
Last updated
November 30, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

60 N Raccoon Rd Apt 40
Austintown, OH 44515-2709
Phone
(330) 207-1797

About Derek Bodo

Derek Bodo is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1 University PLZ, Youngstown, OH 44555-0001. The NPI number 1750851960 was assigned on November 30, 2018 and the record was last updated on November 30, 2018.

Frequently asked questions

What is the NPI number of Derek Bodo?

The NPI number is 1750851960.

What is the phone number of Derek Bodo?

The phone number listed for the practice location is (330) 941-9000.

Where is Derek Bodo located?

1 University PLZ, Youngstown, OH 44555-0001.

What is the taxonomy code for Derek Bodo?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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