Individual
AMANDA JEAN BARGENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, OTC
Contact information
Practice address
1446 1ST AVE, WOODRUFF, WI 54568-9470
(715) 358-0610
(608) 785-8674
Mailing address
1272 ARROWHEAD DR, ARBOR VITAE, WI 54568-9701
(715) 370-6035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2269-39
WI
Other
Enumeration date
11/29/2016
Last updated
01/06/2021
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