Individual
CASSIDY WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5655 MANSFIELD PL, CENTERVILLE, IN 47330-9543
(765) 914-4700
Mailing address
5655 MANSFIELD PL, CENTERVILLE, IN 47330-9543
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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