Individual
ALLISON WINDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
535 IRVING SCHOTTENSTEIN DR, COLUMBUS, OH 43210
(567) 395-4970
Mailing address
46 W BLAKE AVE, COLUMBUS, OH 43202-2865
(567) 395-4970
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000025602
ATHLETIC TRAINING CERTIFICATION
—
01
—
AT005568
OHIO ATHLETIC TRAINING LICENSURE
OH
Enumeration date
08/01/2018
Last updated
08/02/2018
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