Individual
JOSHUA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT
Contact information
Practice address
618 W SEYMOUR ST, APPLETON, WI 54915-1249
(920) 850-0822
Mailing address
618 W SEYMOUR ST, APPLETON, WI 54915-1249
(920) 850-0822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000002624
WI
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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