| NPI | 1548273923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A SWADNER Athletic Trainer 317-802-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36000689A) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |