Individual
ANALIESE RAE FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
97 W CHESTNUT ST, OXFORD, OH 45056-2600
(937) 856-7221
Mailing address
303 BROOKVIEW CT APT 6, OXFORD, OH 45056-2130
(937) 856-7221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT007176
OH
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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