Individual
MIRANDA PAIGE BLOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1216 S HELFRICH AVE, EVANSVILLE, IN 47712-4310
(812) 227-1079
Mailing address
1216 S HELFRICH AVE, EVANSVILLE, IN 47712-4310
(812) 227-1079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003388A
IN
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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