Joshua Drew Ice, LAT

NPI #1083679575 in Tomahawk, Wisconsin

Provider Information

NPI Number
1083679575
Entity Type
Individual
Name
Joshua Drew Ice, LAT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Apr 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
401 W MOHAWK DR
ZIP Code
54487-2218
Phone
(715) 453-7725

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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