Individual
MEAGAN ELIZABETH BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
600 W FRONT ST., NEW CARLISLE, IN 46552-0243
(419) 819-9332
Mailing address
PO BOX 243, NEW CARLISLE, IN 46552-0243
(419) 819-9332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003728A
IN
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2022
Last updated
06/08/2023
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