Individual
KRYSTAL BRAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 N MARTIN JISCHKE DR, WEST LAFAYETTE, IN 47907-2030
(765) 494-9622
(765) 494-1163
Mailing address
355 N MARTIN JISCHKE DR, WEST LAFAYETTE, IN 47907-2030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001980A
IN
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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