Individual
ASHLEY PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6525 2ND AVE, DETROIT, MI 48202-3006
(313) 970-8417
Mailing address
116 ELMWOOD ST, DEARBORN, MI 48124-1424
(814) 450-3340
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
004572
OH
2255A2300X
Athletic Trainer
Primary
2601001360
MI
2255A2300X
Athletic Trainer
75
HI
Other
Enumeration date
12/05/2014
Last updated
07/20/2016
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