Individual
ALLISA GURTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BRANIGIN BLVD, FRANKLIN, IN 46131-2598
(317) 738-8075
Mailing address
7236 SQUIRE CIR, MIDDLETON, WI 53562-4251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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