Seth Black
Seth Black is an Athletic Trainer in Fort Wayne, Indiana. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
12227 Fisher RdFort Wayne, IN 46818-9443
Phone: (260) 564-1202
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1235898065 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 9, 2021 |
| Last updated in NPPES | December 9, 2021 |
| Certification date | December 9, 2021 |
| Mailing address | 12227 Fisher Rd, Fort Wayne, IN 46818-9443 |
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