Individual
CRAIG MATTHEW GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.T., A.T.C.,CPED
Contact information
Practice address
415 CROSSLAKE DR STE B, EVANSVILLE, IN 47715-8272
(812) 476-0409
Mailing address
14411 HONEYSUCKLE DR, EVANSVILLE, IN 47725-9281
(812) 457-6243
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001858A
IN
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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