Stephanie Brianna Ticks

NPI #1326559741 in Kimberly, Wisconsin

Provider Information

NPI Number
1326559741
Entity Type
Individual
Name
Stephanie Brianna Ticks
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Oct 12, 2017
Last Updated
Oct 12, 2017

Practice Location

Address
904 E KIMBERLY AVE
ZIP Code
54136-1613

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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