Thaddeus Broderick
Thaddeus Broderick is an Athletic Trainer in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
8102 Englewood RdIndianapolis, IN 46240-2749
Phone: (317) 473-7489
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 76141 (IN) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 76141 (IN) |
Record details
| NPI number | 1639561012 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 23, 2015 |
| Last updated in NPPES | February 23, 2015 |
| Mailing address | 8102 Englewood Rd, Indianapolis, IN 46240-2749 |
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