STEPHANIE BOTTS

FORT WAYNE, IN
NPI1245691989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002227A)
Enumeration Date2016-03-08
Last Update Date2024-12-05
Business Address
STEPHANIE BOTTS MBA, LAT, ACT
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 331-262-5587
Mailing Address
STEPHANIE BOTTS MBA, LAT, ACT
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: