Individual
KAYLA LANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
531 E TULLY ST, CONVOY, OH 45832-8864
(419) 749-2026
Mailing address
3510 COUNTRYDALE DR, FORT WAYNE, IN 46815-6520
(859) 394-8625
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
Other
Enumeration date
03/20/2016
Last updated
03/17/2018
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