Ali Zoller
Student in an Organized Health Care Education/Training Program in Speedway, IN. Individual provider (NPI-1).
NPI number1265064166
StatusActive
Last updated in NPPESFeb 8, 2020
Details
- NPI
- 1265064166
- Entity type
- Individual (NPI-1)
- Name
- Ali Zoller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2020
- Certification date
- Feb 8, 2020
- Last updated
- Feb 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
5059 Ford StSpeedway, IN 46224-6929
Phone 317-319-2226
Mailing address
5059 Ford StSpeedway, IN 46224-6929
Phone 317-319-2226
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