Individual
SHEENA L COOK-FUGLSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1725 STATE STREET, MITCHELL HALL, ROOM 10, LA CROSSE, WI 54601
(608) 785-6525
Mailing address
1725 STATE ST, 10 MITCHELL HALL, LA CROSSE, WI 54601-3742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
853-39
WI
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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