Individual
KELSEY MIRANDA EMIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
8600 UNIVERSITY BLVD, EVANSVILLE, IN 47712-3534
(812) 465-1955
Mailing address
1175 REGENCY CT, EVANSVILLE, IN 47710-3136
(484) 888-2936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001711A
IN
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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