Individual
MYA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59801-4494
(715) 450-7526
Mailing address
2269 SAINT FRANCIS DR W, EAU CLAIRE, WI 54703-3761
(715) 450-7526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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