Individual
AUTUMN BROOKE MEECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
5801 MEADOWS DR APT E, FORT WAYNE, IN 46804-7639
(765) 561-2100
Mailing address
5801 MEADOWS DR APT E, FORT WAYNE, IN 46804-7639
(765) 561-2100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002936A
IN
Other
Enumeration date
09/19/2018
Last updated
09/17/2019
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