Individual
MISS CHELSEA L HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6716 RAMBLEWOOD CT APT L, FORT WAYNE, IN 46835-1760
(269) 303-4473
Mailing address
02925 38 50TH ST., BLOOMINGDALE, MI 49026
(269) 303-4473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002641
MI
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2020
Last updated
05/09/2023
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