Individual
EMILY CHRISTINE MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
107 S INDIANA AVE, BLOOMINGTON, IN 47405-7000
(812) 855-4848
Mailing address
1355 W ALLEN ST APT 11, BLOOMINGTON, IN 47403-3028
(812) 380-1749
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2022
Last updated
02/13/2022
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