Individual
AUTUMN WHITSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 IAN DR, TERRE HAUTE, IN 47803
(812) 237-8402
Mailing address
3959 IAN DR, TERRE HAUTE, IN 47803
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001241A
IN
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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