Individual
MEGAN S KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2273 SANDWOOD ST, PORTAGE, IN 46368-2434
(219) 771-5484
Mailing address
2273 SANDWOOD ST, PORTAGE, IN 46368-2434
(219) 771-5484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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