Individual
TANYA MICHELLE WHITEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CES
Contact information
Practice address
1100 E 5TH ST, ANDERSON, IN 46012-3462
(765) 641-4490
Mailing address
1100 E 5TH ST, ANDERSON, IN 46012-3462
(765) 641-4490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
07/21/2022
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