Individual
JENNIFER SOBOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-4669
Mailing address
506 PRIDDY ST, BLOOMER, WI 54724-1146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
520-039
WI
Other
Enumeration date
05/18/2006
Last updated
11/17/2022
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