Individual
ASHLEY GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2001 ALFORD PARK DR, KENOSHA, WI 53140-1994
(815) 922-6493
Mailing address
20326 S GRAND PRAIRIE LN, FRANKFORT, IL 60423-8784
(815) 922-6493
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2205
WI
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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