Individual
ELIZABETH SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-6326
Mailing address
14024 HILDEBRAND RD, FORT WAYNE, IN 46818-9434
(260) 515-2388
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000036637
IN
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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