Individual
ANIA ALSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 NATIONAL AVE, INDIANAPOLIS, IN 46227-3313
(317) 847-8079
Mailing address
510 OVERLOOK TRL, PLAINFIELD, IN 46168-1082
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/09/2023
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