Individual
ISAAC GRANT HORSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6700 WALL ST APT 10H, MOBILE, AL 36695-4530
(217) 778-8201
Mailing address
2956 COUNTY ROAD 300 E, FISHER, IL 61843-9761
(217) 778-8201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2771
AL
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
940571303-02
HEALTH ALLIANCE
—
Enumeration date
02/15/2018
Last updated
07/14/2023
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