Mitchell Lee Anderson
Mitchell Lee Anderson is an Athletic Trainer in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
3946 Ice WayFort Wayne, IN 46805-1018
Phone: (319) 693-9912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1134647407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2017 |
| Last updated in NPPES | December 5, 2024 |
| Certification date | December 4, 2024 |
| Mailing address | 3946 Ice Way, Fort Wayne, IN 46805-1018 |
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Sarah Anne Allison, LAT, ATC
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