Individual
MS. KRISTINA BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1213 SAINT CROIX ST, HUDSON, WI 54016-1485
(303) 502-6211
Mailing address
621 UPHAM RD APT 109, DULUTH, MN 55811-5568
(303) 502-6211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2274-39
WI
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
11/25/2019
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