Individual
ELIZABETH NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
478 ANTIOCH CIR W, TERRE HAUTE, IN 47803-9454
(814) 434-3421
Mailing address
478 ANTIOCH CIR W, TERRE HAUTE, IN 47803-9454
(814) 434-3421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002126
IN
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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