Individual
BETHANY FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4606 SIGGELKOW RD APT 208, MC FARLAND, WI 53558-8777
(608) 770-4160
Mailing address
4606 SIGGELKOW RD APT 208, MC FARLAND, WI 53558-8777
(608) 770-4160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
09/26/2018
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