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Individual

KODI MCALISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
1020 W MAIN ST, VEVAY, IN 47043-8497
(812) 427-2626
Mailing address
12792 N BRANCH RD, PATRIOT, IN 47038-9453
(812) 569-9667

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
002847
OH
2255A2300X
Athletic Trainer
Primary
36001334A
IN

Other

Enumeration date
04/26/2018
Last updated
04/26/2018
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