Individual
JOHN THOMAS LOCKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, MS
Contact information
Practice address
8227 NORTHWEST BLVD, SUITE 160, INDIANAPOLIS, IN 46278-1387
(317) 441-2788
Mailing address
1445 TURFWAY CT, AVON, IN 46123-7671
(317) 839-7910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000749A
IN
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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