Individual
COLIN JOSEPH CALVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(574) 440-4252
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(574) 440-4252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003696A
IN
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/21/2022
Last updated
12/04/2024
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