Individual
JODI MALICHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 658-0694
Mailing address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
08/27/2022
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