Individual
DEVIN SOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
605 21ST AVE E, SUPERIOR, WI 54880-3638
(218) 393-2942
Mailing address
605 21ST AVE E, SUPERIOR, WI 54880-3638
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1479
WI
2255A2300X
Athletic Trainer
2518
MN
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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