LISA BRACHT

FORT WAYNE, IN
NPI1780197301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002654A)
Enumeration Date2017-11-06
Last Update Date2017-11-06
Business Address
LISA BRACHT MBA, LAT, ATC
3601 S CALHOUN ST
FORT WAYNE, IN 46807-2006
Phone number: 260-467-2653
Mailing Address
LISA BRACHT MBA, LAT, ATC
1518 TECUMSEH ST
FORT WAYNE, IN 46805-4248
Phone number: 260-409-8862
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