Ian Christopher Stites, LAT, ATC

NPI #1497148191 in Kennedy Space Center, Florida

Provider Information

NPI Number
1497148191
Entity Type
Individual
Name
Ian Christopher Stites, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Mar 5, 2015
Last Updated
Mar 5, 2015

Practice Location

Address
O&C BLDG M7 0355 MAIL CODE IHA 008
State
Florida
ZIP Code
32899-0001
Phone
(321) 867-8004

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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