Individual
CRAIG THURBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46808
(785) 305-0555
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002835A
IN
2255A2300X
Athletic Trainer
AT005515
OH
Other
Enumeration date
03/05/2018
Last updated
03/17/2018
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