Individual
TREY VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W BELL ST, APT 201, NEENAH, WI 54956-6139
(406) 202-1378
Mailing address
120 W BELL ST, APT 201, NEENAH, WI 54956-6139
(406) 202-1378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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