Individual
STACY ANN STRUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
59702 COUNTY ROAD 11, ELKHART, IN 46517-9734
(574) 849-1085
Mailing address
59702 COUNTY ROAD 11, ELKHART, IN 46517-9734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000058A
IN
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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