Individual
AMANDA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
E9546 690TH AVE, ELK MOUND, WI 54739-9421
(715) 828-0667
Mailing address
E9546 690TH AVE, ELK MOUND, WI 54739-9421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
WI
Other
Enumeration date
05/09/2015
Last updated
05/09/2015
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