KYLA ANN LICHTENWALNER

WAUKESHA, WI
NPI1205346996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-10-06
Last Update Date2020-07-07
Business Address
KYLA ANN LICHTENWALNER ATC
2422 FOX RIVER PKWY UNIT I
WAUKESHA, WI 53189-5803
Phone number: 262-501-6384
Mailing Address
KYLA ANN LICHTENWALNER ATC
3300 E PARKSIDE BLVD
APPLETON, WI 54915-5632
Phone number:
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