Individual
MELINDA VOET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.A.T.
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5910
(920) 361-5536
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5910
(920) 361-5536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1590-39
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1590-39
WI STATE ATHLETIC TRAINER LICENSE
WI
01
—
2000009495
NATABOC
—
01
—
2012016945
MISSOURI STATE ATHLETIC TRAINER LICENSE
MO
Enumeration date
06/30/2014
Last updated
02/16/2015
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