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Individual

CYDNEY SHANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1480
Mailing address
212 MADISON ST, SAUK CITY, WI 53583-1024

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
110063
IA
2255A2300X
Athletic Trainer
Primary
2429-39
WI

Other

Enumeration date
11/21/2019
Last updated
11/26/2024
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