Individual
LEXUS TAYLOR BLUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 PARK PL, ATHENS, OH 45701-5005
(317) 437-4262
Mailing address
11038 AMBURG CT, INDIANAPOLIS, IN 46235-9753
(317) 894-0422
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
06/30/2016
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