Individual
ASHLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
815 N STATE ROAD 29, MICHIGANTOWN, IN 46057-9616
(765) 249-2255
Mailing address
815 N STATE ROAD 29, MICHIGANTOWN, IN 46057-9616
(765) 249-2255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001822A
IN
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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