Individual
AUDREY MICHELLE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 ELITE LN APT 201, WEST LAFAYETTE, IN 47906-5391
(219) 629-9002
Mailing address
2780 ELITE LN APT 201, WEST LAFAYETTE, IN 47906-5391
(219) 629-9002
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
40313283
IN
2255A2300X
Athletic Trainer
Primary
2000057514
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2024
Last updated
05/23/2025
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