Individual
ELISABETH BREAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, PES
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 574-5240
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 574-5240
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2454-39
WI
Other
Enumeration date
06/24/2024
Last updated
07/08/2024
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