Individual
CODY SCOTT TESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
6680 N TEUTONIA AVE, MILWAUKEE, WI 53209-3117
(414) 758-3300
Mailing address
6680 N TEUTONIA AVE, MILWAUKEE, WI 53209-3117
(414) 758-3300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC312660
WI
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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