STEPHANIE WICKSTROM, LAT
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1255634226
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 1078-39 (WI) |
Frequently Asked Questions
NPI 1255634226 is the National Provider Identifier for STEPHANIE WICKSTROM, LAT, a Specialist/Technologist - Athletic Trainer provider located in Eau Claire, WI. This NPI was enumerated on December 14, 2010.
STEPHANIE WICKSTROM, LAT practices at 1400 BELLINGER ST., Eau Claire, WI 54702.
Quick Facts
- NPI
- 1255634226
- Type
- Individual
- Enumerated
- Dec 14, 2010
- Last Updated
- Oct 27, 2014
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