Individual
EMILY KATHLEEN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
4177 VILLAGE PARK DR STE B, TRAVERSE CITY, MI 49685-7237
(231) 421-5805
(231) 421-5308
Mailing address
4177 VILLAGE PARK DR STE B, TRAVERSE CITY, MI 49685-7237
(231) 421-5805
(231) 421-5308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001708
MI
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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