IndividualActive
Alexis Branham
NPI 1861007718 · Athletic Trainer · West Lafayette, IN
Provider details
- NPI number
- 1861007718
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 07222074000014 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
900 N John R Wooden Dr
West Lafayette, IN 47907-2117
Phone: (765) 807-2408
Approximate (ZIP-level) locationGet directions
Mailing address
900 N John R Wooden Dr
West Lafayette, IN 47907-2117
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2020-09-08
- Certified
- 2020-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.