Individual
MRS. NICOLE R ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1725 STATE ST, LA CROSSE, WI 54601-3742
(607) 222-6073
Mailing address
1950 PINE RIDGE DR, ONALASKA, WI 54650-2027
(607) 222-6073
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1662-39
WI
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/07/2024
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