Individual
MRS. SANDRA LYN HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 390-5590
Mailing address
187 VICTORY HL, COATESVILLE, IN 46121-8962
(765) 386-6211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36000297A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000297A
ATHLETIC TRAINER LICENSE
IN
Enumeration date
10/18/2006
Last updated
07/08/2007
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