Individual
MAITLYN AVERY BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-1600
Mailing address
2585 UNIVERSITY AVE APT 209, MADISON, WI 53705-3815
(919) 802-0284
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2018
Last updated
06/02/2021
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