Individual
BENJAMIN HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 STATE ST, LA CROSSE, WI 54601-3742
(507) 654-5008
Mailing address
1725 STATE ST, LA CROSSE, WI 54601-3742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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