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Individual

BRAD MICHAEL CRACKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC, OTC

Contact information

Practice address
8607 E US HIGHWAY 36, AVON, IN 46123-7960
(317) 208-3866
Mailing address
8167 CRUMWELL DR, AVON, IN 46123-7007
(317) 438-6248

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000849A
IN

Other

Enumeration date
05/02/2006
Last updated
11/23/2015
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