Individual
ANGELINA PIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 717-5840
Mailing address
12800 W FAIRMOUNT AVE, BUTLER, WI 53007-1416
(262) 717-5840
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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