Individual
MRS. ALEXIS RENEE DEETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S INDIANA AVE, BLOOMINGTON, IN 47405-7000
(812) 855-4848
Mailing address
3011 S ROGERS ST # 1-304, BLOOMINGTON, IN 47403-4449
(812) 369-2436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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