Individual
ASHLEY VANDENBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9459 N 100 W-90, MARKLE, IN 46770-9758
(260) 443-1360
Mailing address
9459 N 100 W-90, MARKLE, IN 46770-9758
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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