Mitchell Lee Anderson
NPI #1134647407 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1134647407
- Entity Type
- Individual
- Name
- Mitchell Lee Anderson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Sep 6, 2017
- Last Updated
- Dec 5, 2024
Practice Location
- Address
- 3946 ICE WAY
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-1018
- Phone
- (319) 693-9912
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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