Individual
GRACE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAT, LAT, ATC
Contact information
Practice address
2550 ELMWOOD AVE, LAFAYETTE, IN 47904-2351
(317) 426-0421
Mailing address
2550 ELMWOOD AVE, LAFAYETTE, IN 47904-2351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
02/14/2025
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