Individual
MARISSA PURDOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5559
Mailing address
8800 W MARSHFIELD CT, FRANKLIN, WI 53132-8595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1375-39
WI
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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