Wyatt Henkenius, LAT, ATC

NPI #1326697400 in Pewaukee, Wisconsin

Provider Information

NPI Number
1326697400
Entity Type
Individual
Name
Wyatt Henkenius, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Sep 10, 2019
Last Updated
Sep 10, 2019

Practice Location

Address
285 FOREST GROVE DR
ZIP Code
53072-3782
Phone
(641) 745-9378

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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