Individual
SARA MOLDENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N3661 COUNTY ROAD K, JEFFERSON, WI 53549-9418
(920) 220-0595
Mailing address
N3661 COUNTY ROAD K, JEFFERSON, WI 53549-9418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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