Individual
KAY LYN COUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 SILVERBERRY CT, MOORESVILLE, IN 46158-2054
(765) 721-7828
Mailing address
109 SILVERBERRY CT, MOORESVILLE, IN 46158-2054
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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