Individual
JENNIFER RYAN VALLELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3200 COLD SPRING RD, INDIANAPOLIS, IN 46222-1960
(317) 955-6122
(317) 955-6121
Mailing address
8227 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1387
(317) 415-5747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001304A
IN
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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