Individual
LISA VANHOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1026 E PLEASANT ST APT 309, MILWAUKEE, WI 53202-2175
(616) 894-5240
Mailing address
1026 E PLEASANT #309, MILWAUKEE, WI 53202
(616) 894-5240
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1290
WI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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