Individual
CLAIRE HARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1725 STATE ST, LA CROSSE, WI 54601-3742
(952) 412-4876
Mailing address
1725 PINE STREET, MITCHELL HALL, LA CROSSE, WI 54601
(952) 412-4876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1760-39
WI
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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