Individual
SAMANTHA JANE ATKIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6911 53RD ST, KENOSHA, WI 53144-3772
(847) 610-0777
Mailing address
6911 53RD STREET, 133, KENOSHA, WI 53144
(847) 610-0777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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