Individual
HOLLY JO ETTENHOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6320 S 6TH ST, WELLS, MI 49894-9701
(906) 553-1610
Mailing address
6320 SOUTH 6TH STREET, WELLS, MI 49894
(906) 553-1610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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