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Individual

KAYLA VAN HANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, CSCS

Contact information

Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
Mailing address
N9403 SARA CT, APPLETON, WI 54915-5207
(920) 410-1664

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1491-39
WI

Other

Enumeration date
09/12/2019
Last updated
09/12/2019
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