Individual
MICHELLE LEE SEAGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
(402) 360-0156
Mailing address
1500 KOENIGSTEIN AVE, NORFOLK, NE 68701-3664
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1019064
NE
Other
Enumeration date
10/05/2021
Last updated
10/12/2021
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