Individual
MATTHEW REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 W 49TH ST, INDIANAPOLIS, IN 46208-3480
(317) 509-2196
Mailing address
6564 SIEBERT TRL, NINEVEH, IN 46164-9453
(317) 509-2196
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003730A
IN
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
05/12/2026
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