Individual
AMY BOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3117 SHORE DR, SUITE 102-103, MARINETTE, WI 54143-4293
(715) 732-8200
(715) 732-8205
Mailing address
791 OAK ST, APT 8, PESHTIGO, WI 54157-1715
(715) 582-0909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
451-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451-039
WISCONSIN LICENSE
WI
Enumeration date
11/28/2006
Last updated
07/08/2007
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