Individual
ELIZABETH KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1480
Mailing address
554 MELODY LN, COLGATE, WI 53017-9796
(262) 364-7569
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1476-39
WI
Other
Enumeration date
04/24/2014
Last updated
02/11/2016
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