Individual
CHANTEL PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1709 TRADITIONS CT, FRANKLIN, IN 46131
(605) 940-5509
Mailing address
504 E MEADOWLARK CT, BRANDON, SD 57005-1045
(605) 940-5509
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2016
Last updated
05/30/2018
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