Individual
MR. BRENT LARRY AMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T.
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4633
(715) 858-4511
Mailing address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4633
(715) 858-4511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
101-039
WI
Other
Enumeration date
08/30/2005
Last updated
11/17/2022
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