Individual
KATHERINE FANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 GRAY ST, EAU CLAIRE, WI 54701-3761
(715) 571-4929
Mailing address
709 GRAY ST, EAU CLAIRE, WI 54701-3761
(715) 571-4929
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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