Individual
ALYSON NICOLE GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-4011
Mailing address
9198 80TH ST APT 50, PLEASANT PRAIRIE, WI 53158-2219
(224) 406-2025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096005382
IL
2255A2300X
Athletic Trainer
Primary
2560-39
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/04/2017
Last updated
01/10/2023
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