BENTON ROSE

PLATTEVILLE, WI
NPI1699281816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1309-39)
Enumeration Date2017-12-26
Last Update Date2017-12-26
Business Address
BENTON ROSE ATC, LAT, PES
1400 EASTSIDE RD
PLATTEVILLE, WI 53818-9800
Phone number: 608-342-5003
Mailing Address
BENTON ROSE ATC, LAT, PES
1400 EASTSIDE RD
PLATTEVILLE, WI 53818-9800
Phone number: 608-342-5003