Individual
ALICIA GRACE SIKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2125 S 77TH ST, WEST ALLIS, WI 53219-1131
(414) 779-1602
Mailing address
2125 S 77TH ST, WEST ALLIS, WI 53219-1131
(414) 779-1602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
318739
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2023
Last updated
05/25/2024
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