Individual
COURTNEY NICOLE WOHLWEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1225 S 7 HWY, BLUE SPRINGS, MO 64014-3539
(816) 295-2051
(816) 463-2014
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2015022122
MO
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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