Justin A Edge, ATC
NPI #1467173880 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1467173880
- Entity Type
- Individual
- Name
- Justin A Edge, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Sep 5, 2022
- Last Updated
- Sep 5, 2022
Practice Location
- Address
- 45 S NATIONAL AVE
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4621
- Phone
- (920) 923-8588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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