Raven Gmach, LAT, ATC

NPI #1619488012 in Oshkosh, Wisconsin

Provider Information

NPI Number
1619488012
Entity Type
Individual
Name
Raven Gmach, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Oct 12, 2017
Last Updated
Jun 22, 2021

Practice Location

Address
800 ALGOMA BLVD
ZIP Code
54901-3551
Phone
(920) 917-5773

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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