Individual
ELISE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
Mailing address
523 S LINCOLN PARK DR, EVANSVILLE, IN 47714-1535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003937A
IN
Other
Enumeration date
07/22/2024
Last updated
07/23/2024
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