Individual
MISS KATELIN ELIZABETH DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 CONGRESSIONAL WAY, SHELBYVILLE, IN 46176-8815
(317) 398-6769
Mailing address
915 CONGRESSIONAL WAY, SHELBYVILLE, IN 46176-8815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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