Individual
ASHLEY MERMOLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
900 WOOD RD, KENOSHA, WI 53144-1133
(262) 595-2164
(262) 595-2225
Mailing address
S88W19381 TIMBERBROOK DR, MUSKEGO, WI 53150-7860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096005227
IL
2255A2300X
Athletic Trainer
Primary
2543-39
WI
Other
Enumeration date
12/17/2017
Last updated
08/21/2024
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