Individual
HANNAH GAVESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
901 MONTGOMERY ST, REHABILITATION SERVICES, DECORAH, IA 52101-2325
(563) 382-2911
Mailing address
630 9TH ST N, APT 202, LA CROSSE, WI 54601-3447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000994
IA
2255A2300X
Athletic Trainer
1150-039
WI
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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