Individual
ABIGAIL J GODEJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
917 MULBERRY DR E, WEST BEND, WI 53090-2263
(414) 881-8025
Mailing address
917 MULBERRY DR E, WEST BEND, WI 53090-2263
(414) 881-8025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
01/17/2024
Last updated
02/10/2025
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