Individual
KASEY TRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W892 HWY 96, KAUKAUNA, WI 54130
(920) 809-8159
Mailing address
417 E FLORIDA AVE, APPLETON, WI 54911-1327
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2101-39
WI
2255A2300X
Athletic Trainer
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2015
Last updated
01/30/2019
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