Individual
KATHRYN CLEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5483 N PORTERSVILLE RD, JASPER, IN 47546-9639
(812) 827-9699
Mailing address
5483 N PORTERSVILLE RD, JASPER, IN 47546-9639
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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