Individual
MISS KARI PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3304 PARKSIDE AVE, LAKE STATION, IN 46405-1143
(219) 962-8531
Mailing address
480 AMHURST RD, VALPARAISO, IN 46385-8029
(219) 242-2105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001821A
IN
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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