Individual
MAKAYLA LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 FORT WAYNE AVE, INDIANAPOLIS, IN 46204-1309
(317) 203-9488
Mailing address
4623 KIMMERIDGE LN, INDIANAPOLIS, IN 46254-5453
(317) 760-3477
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003786A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/28/2021
Last updated
07/03/2023
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