Individual
MISS HANNAH MAE WALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
901 W PLUM ST, FORT COLLINS, CO 80521-1186
(970) 775-4597
Mailing address
446 PONY EXPRESS TRL, AULT, CO 80610-9771
(970) 775-4597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002344
CO
Other
Enumeration date
08/30/2017
Last updated
12/05/2024
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