Individual
AMANDA ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
3400 S 103RD ST, 300, MILWAUKEE, WI 53227-4163
(262) 366-3655
(262) 565-4304
Mailing address
3400 S 103RD ST, 300, MILWAUKEE, WI 53227-4163
(262) 366-3655
(262) 565-4304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1591-39
WI
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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