Individual
LUANN RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1021 WESTERN AVE STE B, MOSINEE, WI 54455-1511
(715) 693-7727
(715) 693-7171
Mailing address
1021 WESTERN AVE STE B, MOSINEE, WI 54455-1511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1177-039
WI
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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