Individual
AMY BEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, WCMT
Contact information
Practice address
21140 W CAPITOL DR, SUITE 4, PEWAUKEE, WI 53072-2953
(262) 754-1650
(262) 754-0877
Mailing address
21140 W CAPITOL DR, SUITE 4, PEWAUKEE, WI 53072-2953
(262) 754-1650
(262) 754-0877
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
305-039
WI
Other
Enumeration date
03/12/2007
Last updated
07/24/2007
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