Individual
ALISON MARIE GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(812) 855-2794
Mailing address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36004167A
IN
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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