Provider Demographics
NPI:1699719542
Name:MARSEE, JEFFREY WAYNE (LAT, ATC, DHED)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:WAYNE
Last Name:MARSEE
Suffix:
Gender:M
Credentials:LAT, ATC, DHED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 W HARSAX DR
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46989-9008
Mailing Address - Country:US
Mailing Address - Phone:765-998-2728
Mailing Address - Fax:
Practice Address - Street 1:236 W READE AVE
Practice Address - Street 2:HEALTH AND EXERCISE SCIENCE
Practice Address - City:UPLAND
Practice Address - State:IN
Practice Address - Zip Code:46989-1001
Practice Address - Country:US
Practice Address - Phone:765-998-5132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator