Individual
JENNA M SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3601 30TH AVE, SUITE 103, KENOSHA, WI 53144-1695
(262) 657-7071
Mailing address
3601 30TH AVE, SUITE 103, KENOSHA, WI 53144-1695
(262) 657-7071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1321-39
WI
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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