WYATT HENKENIUS

PEWAUKEE, WI
NPI1326697400
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  083438)
Enumeration Date2019-09-10
Last Update Date2019-09-10
Business Address
WYATT HENKENIUS LAT, ATC
285 FOREST GROVE DR
PEWAUKEE, WI 53072-3782
Phone number: 641-745-9378
Mailing Address
WYATT HENKENIUS LAT, ATC
1076 JASPER DR
WEST DES MOINES, IA 50266-3312
Phone number: 641-745-9378
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