Alexandria Roswita Sawyer, LAT, ATC
Specialist/Technologist, Athletic Trainer in West Lafayette, IN. Individual provider (NPI-1).
NPI number1013432467
StatusActive
Last updated in NPPESAug 7, 2017
Details
- NPI
- 1013432467
- Entity type
- Individual (NPI-1)
- Name
- Miss Alexandria Roswita Sawyer
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2017
- Last updated
- Aug 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096003587 | IL | Yes |
Practice location
900 N John R Wooden DrWest Lafayette, IN 47907-2117
Phone 765-494-1703
Mailing address
10525 S Longwood DrChicago, IL 60643-2615
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