ANDREW JAY ACKER

PORTAGE, WI
NPI1821497165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1593-39)
Enumeration Date2014-08-21
Last Update Date2014-08-21
Business Address
-- ANDREW JAY ACKER ATC
2817 NEW PINERY RD
PORTAGE, WI 53901-9240
Phone number: 608-742-4131
Mailing Address
-- ANDREW JAY ACKER ATC
1042 E JOHNSON ST
MADISON, WI 53703-1624
Phone number: 608-843-3406
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