AUTUMN WHITSON

TERRE HAUTE, IN
NPI1518949148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN  36001241A)
Enumeration Date2005-11-18
Last Update Date2007-07-08
Business Address
AUTUMN WHITSON
3959 IAN DR
TERRE HAUTE, IN 47803
Phone number: 812-237-8402
Mailing Address
AUTUMN WHITSON
3959 IAN DR
TERRE HAUTE, IN 47803
Phone number: