Individual
MICHELLE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 219-4009
Mailing address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 219-4009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1245-039
WI
Other
Enumeration date
05/03/2013
Last updated
09/04/2014
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