Individual
KAHLA HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1858 N COMMERCE ST, 205, MILWAUKEE, WI 53212-3767
(414) 791-0107
Mailing address
1858 N COMMERCE ST, 205, MILWAUKEE, WI 53212-3767
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1198-39
WI
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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