Individual
KATE TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3784 N TILLOTSON AVE APT 118, MUNCIE, IN 47304-1657
(636) 465-4672
Mailing address
3784 N TILLOTSON AVE APT 118, MUNCIE, IN 47304-1657
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2024
Last updated
06/21/2024
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