Individual
EMILY RENE SAGSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6034 LIBERTY GLADE CT, FORT WAYNE, IN 46804
(260) 579-1910
Mailing address
6034 LIBERTY GLADE CT, FORT WAYNE, IN 46804-4219
(260) 579-1910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
101848
IA
Other
Enumeration date
08/30/2017
Last updated
07/09/2020
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