Individual
ALICIA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
401 W MOHAWK DR, TOMAHAWK, WI 54487-2274
(715) 453-7740
(715) 453-7717
Mailing address
401 W MOHAWK DR, TOMAHAWK, WI 54487-2274
(715) 453-7740
(715) 453-7717
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1229-039
WI
Other
Enumeration date
02/11/2011
Last updated
06/19/2026
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