Individual
KAYLA GROTRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 EVARD RD, FORT WAYNE, IN 46835-1796
(260) 409-9165
Mailing address
5440 EVARD RD, FORT WAYNE, IN 46835-1796
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
07/08/2021
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