person
Mrs. Sandra Lyn Herring, LAT,ATC
Specialist in Indianapolis, Indiana
NPI 1629159447

Sandra Lyn Herring is a Specialist based in Coatesville, IN. Sandra Lyn Herring practices in Indianapolis, IN and has the professional credentials of LAT,ATC. The NPI Number for Sandra Lyn Herring is 1629159447 and holds a License No. 36000297A (Indiana).

The current practice location address for Sandra Lyn Herring is 5949 W Raymond St, Indianapolis, IN and can be reached out via phone at 317-390-5590.

Location: 5949 W Raymond St, Indianapolis, IN, 46121-8962
person
Provider Profile Details
NPI Number
1629159447
Provider Name
Sandra Lyn Herring
Credential
LAT,ATC
Provider Entity Type
Individual
Gender
Female
Address
5949 W Raymond St, Indianapolis, IN, 46121-8962
Phone Number
317-390-5590
Fax Number
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36000297A 01 IN ATHLETIC TRAINER LICENSE
institution
Provider Business Practice Location Address Details
Address
5949 W Raymond St
City
State
Zip
46241-4348
Phone Number
317-390-5590
Fax Number
person
Provider Business Mailing Address Details
Address
5949 W Raymond St
City
State
Zip
46241-4348
Phone Number
317-390-5590
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
36000297A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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