Individual
ELIZABETH MARIE HENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AT, ATC
Contact information
Practice address
4090 60TH AVE, MATTAWAN, MI 49071-9525
(269) 377-7884
Mailing address
24090 60TH AVE, MATTAWAN, MI 49071-9525
(269) 377-7884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000230
MI
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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