Individual
COLTON FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 EMMET ST, CHARLOTTESVILLE, VA 22904
(715) 490-1835
Mailing address
2218 SPRING CREEK RD, RHINELANDER, WI 54501
(715) 490-1835
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3024
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
06/09/2016
Last updated
10/02/2021
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