Individual
ERIN KAE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 W MAIN ST, WILLIAMS CENTER 105G, WHITEWATER, WI 53190
(262) 472-1138
Mailing address
W9547 SKOGEN RD, CAMBRIDGE, WI 53523-9756
(920) 296-9183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
855-39
WI
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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