Individual
MR. STEVEN D RISINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC LAT
Contact information
Practice address
1526 UNIVERSITY BLVD, ANDERSON, IN 46012-3111
(765) 641-4491
(765) 641-3841
Mailing address
3416 WHITE RIVER CT., ANDERSON, IN 46012
(765) 621-9963
(765) 641-3841
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000001A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
2255A2300X ATHLETIC TRAIN
IN
Enumeration date
12/12/2006
Last updated
07/08/2007
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