Individual
MRS. STACIE YVONNE FELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PLAINVILLE DR, WESTFIELD, IN 46074-8557
(317) 867-0367
Mailing address
8227 NORTHWEST BLVD STE 160, INDIANAPOLIS, IN 46278-1386
(317) 867-0367
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000942A
IN
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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