Individual
DOUGLAS CASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5836 S RANGE RD, LA PORTE, IN 46350-9208
(219) 363-2935
(219) 473-4331
Mailing address
5836 S RANGE RD, LA PORTE, IN 46350-9208
(219) 363-2935
(219) 473-4331
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000815A
IN
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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