Individual
MRS. PENNY K GRASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
705 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821-2110
(608) 357-2216
(608) 357-2231
Mailing address
401 E BLUFF ST, BOSCOBEL, WI 53805-1729
(608) 375-6050
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200-039
WI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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