Individual
HEIDI BOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2105 E ENTERPRISE AVE STE 113, APPLETON, WI 54913-7862
(920) 991-2561
Mailing address
W6826 COUNTY ROAD O, HORTONVILLE, WI 54944-9742
(920) 740-8520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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