Individual
BRIAN BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4590 W SARAH MYERS DR, WEST TERRE HAUTE, IN 47885-9507
(631) 487-5667
Mailing address
4590 W SARAH MYERS DR, WEST TERRE HAUTE, IN 47885-9507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002632A
IN
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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