KELLY SCOTT WITHEM

TERRE HAUTE, IN
NPI1114342557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000257A)
Enumeration Date2014-02-21
Last Update Date2014-02-21
Business Address
Mr. KELLY SCOTT WITHEM ATC, LAT
1606 N 7TH ST
TERRE HAUTE, IN 47804-2706
Phone number: 812-238-7000
Mailing Address
Mr. KELLY SCOTT WITHEM ATC, LAT
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
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