Individual
CODY HOTTENROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
612 HOWARD PL APT F, MADISON, WI 53703-1225
(262) 623-4819
Mailing address
612 HOWARD PL APT F, MADISON, WI 53703-1225
(262) 623-4819
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000026879
WI
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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