Individual
MELISSA JO HAZELWOOD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, LAT
Contact information
Practice address
1111 DELAFIELD ST, SUITE 120, WAUKESHA, WI 53188-3417
(262) 521-9762
Mailing address
1111 DELAFIELD ST, SUITE 120, WAUKESHA, WI 53188-3417
(262) 521-9762
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
463-039
WI
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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