NPI 1710547492

Kylie Elizabeth Martindale, ATC

Practitioner Prevention Professional Anderson, IN

Practice location

Address: 2610 Enterprise Dr, Anderson, IN 46013-9684
Phone: (800) 622-6575
Mailing address: 1122 Waggoner Dr, Rushville, IN 46173-1060

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 36003006A (IN)

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Registry record

NPI: 1710547492
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2019
Record last updated: 16 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.