Individual
KARLEIGH DERLETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(800) 497-7678
Mailing address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(800) 497-7678
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
4050338594
IN
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/31/2020
Last updated
05/18/2023
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