Individual
COURTNEY NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 W CLOVER LN, COTTAGE GROVE, WI 53527-9428
(608) 220-9326
Mailing address
308 W CLOVER LN, COTTAGE GROVE, WI 53527-9428
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1379
WI
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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