Individual
MISS TRISHA JANE KEMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
4212 SOUTHTOWN DR, EAU CLAIRE, WI 54701-2635
(715) 832-1400
Mailing address
805 S SUMMIT ST, APPLETON, WI 54914-5403
(715) 379-1865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
739-039
WI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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