Individual
MICHELLE LYNN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LAT, ATC
Contact information
Practice address
INDIANA STATE UNIVERSITY, ATHLETIC TRAINING DEPARTMENT, TERRE HAUTE, IN 47809-0001
(812) 237-4062
(812) 237-9612
Mailing address
INDIANA STATE UNIVERSITY, ATHLETIC TRAINING DEPARTMENT, TERRE HAUTE, IN 47809-0001
(812) 237-4062
(812) 237-9612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001411A
IN
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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