Individual
MISS ASHLEE JEAN ORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
67530 US HIGHWAY 33, GOSHEN, IN 46526-8552
(574) 831-4652
Mailing address
67530 US HIGHWAY 33, GOSHEN, IN 46526-8552
(574) 831-2184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002868A
IN
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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