Individual
MS. ALISHA PORTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2261 RALSTON AVE, INDIANAPOLIS, IN 46218-3444
(317) 916-9050
Mailing address
2951 LOCUST CIR, INDIANAPOLIS, IN 46227-6711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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