Individual
BRITTANY HALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
Mailing address
4032 E SADDLE DR, FORT WAYNE, IN 46804-3930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002107A
IN
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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