Individual
CAYLA PUSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-7088
Mailing address
11531 PARENT RD, NEW HAVEN, IN 46774-9724
(260) 403-3935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002830A
IN
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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