Individual
SARAH ROSE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 4TH AVE, STEVENS POINT, WI 54481-1910
(715) 688-9056
Mailing address
5110 KIRKWOOD AVE N, LAKE ELMO, MN 55042-9559
(715) 688-9056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/13/2015
Last updated
06/13/2015
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