BRYAN BLACK

FORT WAYNE, IN
NPI1407358377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002703A)
Enumeration Date2018-03-06
Last Update Date2018-03-06
Business Address
BRYAN BLACK MAT, LAT, ATC, CKTP
3946 ICE WAY FORT WAYNE
FORT WAYNE, IN 46808
Phone number: 517-425-4996
Mailing Address
BRYAN BLACK MAT, LAT, ATC, CKTP
3946 ICE WAY FORT WAYNE
FORT WAYNE, IN 46808
Phone number: 517-425-4996
Similar providers in Fort Wayne, IN
SCOTT PATRICK LAMBERT
ASHLEY EMERSON
DAVID LEE ANDERSON
LAUREN RAO
KENDRANNE FORD
JESSICA RENEE WESTMAAS
BRIAN CHRISTOPHER KOMPROOD
EMILY MARIA GIORGI
MICHELLE K HERTEL
ERIN HUNTER