Individual
NICHOLE JANETTE SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAT, LAT, ATC
Contact information
Practice address
445 W CALUMET ST, APPLETON, WI 54915-1401
(920) 725-9373
Mailing address
1305 W AMERICAN DR, NEENAH, WI 54956-1993
(920) 725-9373
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3156
WI
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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