Individual
DR. LISA S JUTTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
1740 NEELY, BALL STATE UNIVERSITY; SPESES, HP 222H, MUNCIE, IN 47306
(765) 285-2637
Mailing address
9102 W JACKSON ST, MUNCIE, IN 47304-9740
(765) 215-0385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001234A
IN
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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