Individual
KATHLEEN LEVANDOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
6154 LUTE RD, PORTAGE, IN 46368-5010
(219) 762-1957
Mailing address
6154 LUTE RD, PORTAGE, IN 46368-5010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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