Individual
TAKAYUKI SAKURAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
ATHLETIC TRAINING DEPARTMENT, INDIANA STATE UNIVERSITY, TERRE HAUTE, IN 47809-0001
(812) 237-2727
Mailing address
ATHLETIC TRAINING DEPARTMENT, INDIANA STATE UNIVERSITY, TERRE HAUTE, IN 47809-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001420A
IN
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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