Individual
CARLI MEGAN TEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
1970 S RIDGE RD, GREEN BAY, WI 54304-4125
(920) 559-9013
Mailing address
4143 GEMSTONE TRL, BELLEVUE, WI 54311-9007
(920) 559-9013
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2308-39
WI
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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