Individual
MICHAEL D RUDISILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
8429 KANSA CT, INDIANAPOLIS, IN 46217-5015
(317) 694-4526
Mailing address
8429 KANSA CT, INDIANAPOLIS, IN 46217-5015
(317) 694-4526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000021
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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