Individual
COURTNEY M LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
25943 COUNTY ROAD 22, ELKHART, IN 46517-9258
(574) 293-1609
Mailing address
22552 BREAKWATER DR APT 1A, ELKHART, IN 46516-9233
(269) 625-5873
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003289A
IN
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
12/08/2018
Last updated
01/26/2021
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