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Individual

MRS. KRISTIN DENISE RIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LMT

Contact information

Practice address
2403 CAMPBELL ST, VALPARAISO, IN 46385-2305
(574) 286-0859
Mailing address
3902 SUMMIT DR, VALPARAISO, IN 46383-1708
(574) 286-0859

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001015A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36001015A
STATE LICENSE
IN
Enumeration date
11/08/2006
Last updated
02/09/2023
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