MRS. Karis Amelia Prusak, ATC, LAT

NPI #1205202181 in Sheridan, Wyoming

Provider Information

NPI Number
1205202181
Entity Type
Individual
Name
MRS. Karis Amelia Prusak, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Aug 14, 2015
Last Updated
Aug 14, 2015

Practice Location

Address
135 N GOULD ST
State
Wyoming
ZIP Code
82801-3927
Phone
(307) 674-1634

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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