Ashley Vandenboom

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Markle, IN

NPI 1710849682 · NPPES record last updated Dec 1, 2025

Key facts

NPI
1710849682
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
9459 N 100 W-90
Markle, IN 46770-9758
Phone
(260) 443-1360
NPI assigned
Dec 1, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

9459 N 100 W-90
Markle, IN 46770-9758

Mailing address

9459 N 100 W-90
Markle, IN 46770-9758

Other providers in Markle, IN

All providers in Markle, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.