Individual
HEATHER A SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,L
Contact information
Practice address
2855 MILLER DR STE 105, PLYMOUTH, IN 46563-8091
(574) 941-1055
(574) 941-1083
Mailing address
5266 JOHNSON ST, KNOX, IN 46534-7602
(574) 772-3360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000870A
IN
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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