Individual
CHELSEA LYNN DRIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LAT, ATC
Contact information
Practice address
2101 E COLISEUM BLVD, FORT WAYNE, IN 46805-1445
(260) 481-4163
Mailing address
2101 E COLISEUM BLVD, FORT WAYNE, IN 46805-1445
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002361A
IN
Other
Enumeration date
12/01/2014
Last updated
03/19/2016
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