Susan Mary Lew, MS, LAT, CSCS Valid NPI

Individual provider · Athletic Trainer · Menomonie, WI

NPI

1437229192

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

356-039 (WI)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-11-09

Last updated

2007-07-08