Individual
MISS KAYLA ANN GERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1500 S MAIN ST, CROWN POINT, IN 46307-9492
(219) 663-4885
Mailing address
2323 DROP ANCHOR DR, CROWN POINT, IN 46307-9339
(121) 741-7369
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002312A
IN
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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