Individual
EMILY M STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
628 NURSERY RD, ANDERSON, IN 46012-3511
(765) 602-6232
Mailing address
628 NURSERY RD, ANDERSON, IN 46012-3511
(765) 602-6232
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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