Individual
ANDREW JAY ACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 742-4131
Mailing address
1042 E JOHNSON ST, MADISON, WI 53703-1624
(608) 843-3406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1593-39
WI
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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