Individual
MRS. CASEY GALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8227 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1387
(317) 414-7919
Mailing address
12803 MILTON RD, FISHERS, IN 46037-6415
(317) 436-7719
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001291A
IN
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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