Individual
KATIE LYNN DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BRANIGIN BLVD, FRANKLIN, IN 46131-2598
(317) 738-8014
Mailing address
8048 FORWARD PASS RD, INDIANAPOLIS, IN 46217-4418
(317) 371-5782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
03/17/2018
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