Individual
KELLY ROUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
Mailing address
3829 CURRY LN, JANESVILLE, WI 53546-3428
(414) 517-1454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1669-39
WI
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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