Individual
STEVEN ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
2817 NEW PINERY RD, SUITE 103, PORTAGE, WI 53901
(608) 745-6290
Mailing address
2817 NEW PINERY RD, SUITE 103, PORTAGE, WI 53901-9240
(608) 745-6290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
28-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40435700
—
WV
Enumeration date
04/03/2013
Last updated
04/03/2013
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