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Alexander Serwatka, LAT, ATC

Specialist/Technologist, Athletic Trainer in Elkhart, IN. Individual provider (NPI-1).

NPI number1396501656
StatusActive
Last updated in NPPESFeb 26, 2024

Details

NPI
1396501656
Entity type
Individual (NPI-1)
Name
Mr. Alexander Serwatka
Credential
LAT, ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 26, 2024
Certification date
Feb 24, 2024
Last updated
Feb 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer36003768AINYes

Practice location

59117 Minuteman Way
Elkhart, IN 46517-3409

Phone 574-875-6524

Mailing address

57290 Orchard Ridge Dr
Elkhart, IN 46516-8936

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