Individual
MOLLIE KLOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 437-7220
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(260) 437-7220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36004173A
IN
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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