Individual
ELIZABETH WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LAT, ATC, CES
Contact information
Practice address
200 E 186TH ST, WESTFIELD, IN 46074-2001
(419) 202-5917
Mailing address
1100 WYNDHAM LN, SANDUSKY, OH 44870-7264
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2344
MA
2255A2300X
Athletic Trainer
Primary
36003297A
IN
Other
Enumeration date
01/28/2014
Last updated
01/20/2020
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