Individual
MISS KATIE LYNN MANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
300 MC CANNA PKWY, BURLINGTON, WI 53105-3622
(262) 767-7160
(262) 767-7127
Mailing address
3951 E KLIEFORTH AVE, CUDAHY, WI 53110-3123
(414) 483-2933
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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