Individual
BREA STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAT, LAT, ATC
Contact information
Practice address
1725 STATE ST, LA CROSSE, WI 54601-3742
(608) 785-8000
Mailing address
PO BOX 172, BANGOR, WI 54614-0172
(608) 330-1639
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2016
Last updated
05/26/2025
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