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Individual

CHRISTOPHER ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC

Contact information

Practice address
5580 ST RD 28, TIPTON, IN 46072
(765) 437-8310
Mailing address
5769 W 100 N, TIPTON, IN 46072-8503
(765) 437-8310

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002121A
IN
2255A2300X
Athletic Trainer
AT5632
TX

Other

Enumeration date
03/06/2015
Last updated
03/17/2018
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