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Individual

MR. DANIEL WELTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS,LAT, ATC

Contact information

Practice address
5255 E STOP 11 RD, INDIANAPOLIS, IN 46237-6340
(317) 781-1133
(317) 528-7099
Mailing address
8428 KIRKLIN CT, INDIANAPOLIS, IN 46237-9171
(317) 407-9101

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002776A
IN

Other

Enumeration date
03/05/2015
Last updated
03/23/2020
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