Individual
BAILEY L WEHRLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
N2930 STATE ROAD 22, WAUTOMA, WI 54982-5267
(920) 361-1313
Mailing address
E2638 MARION LN, WAUPACA, WI 54981-8424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1864
WI
2255A2300X
Athletic Trainer
L200-0729-3909-08
WI
Other
Enumeration date
05/05/2015
Last updated
05/07/2018
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