Individual
JEREMY AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-6161
Mailing address
8929 23RD AVE S, EAU CLAIRE, WI 54703-0182
(715) 417-2165
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1959-39
WI
Other
Enumeration date
05/13/2015
Last updated
02/27/2019
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