Individual
JULIA SPELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7717 HWY 42, EGG HARBOR, WI 54209-0586
(920) 421-0835
Mailing address
PO BOX 586, EGG HARBOR, WI 54209-0586
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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