Stacy Ann Struble, ATC
Specialist/Technologist, Athletic Trainer in Elkhart, IN. Individual provider (NPI-1).
NPI number1861452013
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861452013
- Entity type
- Individual (NPI-1)
- Name
- Stacy Ann Struble
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 36000058A | IN | Yes |
Practice location
59702 County Road 11Elkhart, IN 46517-9734
Phone 574-849-1085
Mailing address
59702 County Road 11Elkhart, IN 46517-9734
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All 12 Athletic Trainer providers in Elkhart · All 1,926 providers in Elkhart
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