ELIZABETH LEANN AUGUSTINE, ATC

NPI: 1932461845 · Individual · Active

Primary Specialty

Athletic Trainer
Specialist/Technologist — Athletic Trainer

Practice Location

1500 PROVIDENT DR STE C
WARSAW, IN 46580-3297 Map ↗
Phone: 574-372-7671

Mailing Address

2802 HUFFMAN ST
WINONA LAKE, IN 46590-2065 Map ↗
Phone: 574-377-0560

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Athletic Trainer Primary — Athletic Trainer (license: 36001368A, IN)

NPI Registration

Enumerated: 2012-06-15

Last CMS Update: 2012-06-15