Individual
DAMON REEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3352 WEATHERED ROCK CIR, KOKOMO, IN 46902-6066
(765) 480-5622
Mailing address
3352 WEATHERED ROCK CIR, KOKOMO, IN 46902-6066
(765) 480-5622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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