BRETT SPACK

CARMEL, IN
NPI1104240902
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002164A)
Enumeration Date2014-02-13
Last Update Date2014-02-13
Business Address
Mr. BRETT SPACK ATC, LAT
1402 CHASE CT
CARMEL, IN 46032-7502
Phone number: 317-848-5867
Mailing Address
Mr. BRETT SPACK ATC, LAT
5131 CALLAN DR
INDIANAPOLIS, IN 46254-3774
Phone number: 317-246-8715
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