Individual
ALYSSA NOELLE WICKENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC.
Contact information
Practice address
106 N 91ST AVE, YAKIMA, WA 98908
(509) 961-5124
Mailing address
106 N 91ST AVE, YAKIMA, WA 98908-8473
(509) 961-5124
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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