KEISUKE KAWATA

BLOOMINGTON, IN
NPI1285284158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002932A)
Enumeration Date2019-09-12
Last Update Date2019-09-12
Business Address
-- KEISUKE KAWATA PhD, ATC
1025 E 7TH ST # C215
BLOOMINGTON, IN 47405-7109
Phone number: 812-855-5244
Mailing Address
-- KEISUKE KAWATA PhD, ATC
1025 E 7TH ST # C215
BLOOMINGTON, IN 47405-7109
Phone number: 812-855-5244
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