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SARA D BLINDAUER ATC, LAT, MBA

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1578994000

Individual Registrant:
 SARA D BLINDAUER ATC, LAT, MBA
Gender: F
Sole Proprietor

Location and contact information for practice:
707 S UNIVERSITY AVE  BEAVER DAM, WI 53916-3027 US
Tel: 920-219-4009  Fax: --

Contact information for business:
707 S UNIVERSITY AVE  BEAVER DAM, WI 53916-3027 US
Tel: --  Fax: --

Registration Information:
NPI: 1578994000
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
WI1354-39

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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