Individual
ALEXIS L LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(207) 316-6297
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(207) 316-6297
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
12/03/2024
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