Individual
JENNIFER A MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
1245 N BROADWAY, MILWAUKEE, WI 53202-2507
(262) 490-9466
Mailing address
W145N10170 RAINTREE DR, GERMANTOWN, WI 53022-5329
(262) 490-9466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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