Individual
MR. WESLEY ALLEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11218 TOWNSHIP LINE RD, PLAINFIELD, IN 46168-2601
(317) 838-0500
Mailing address
514 SOUTHMORE ST, PLAINFIELD, IN 46168-2052
(317) 456-2001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001148A
IN
Other
Enumeration date
09/19/2005
Last updated
01/11/2018
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