Individual
BROOKE MICHELE AVEYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4429 LONGMEADOW LN, BEAVERCREEK, OH 45430-1864
(937) 681-0742
Mailing address
4429 LONGMEADOW LN, BEAVERCREEK, OH 45430-1864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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