Cordial M. Gillette, PhD, AT, LAT
Specialist/Technologist, Athletic Trainer in La Crosse, WI. Individual provider (NPI-1).
NPI number1477527596
StatusActive
Last updated in NPPESJan 14, 2023
Details
- NPI
- 1477527596
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Cordial M. Gillette
- Credential
- PhD, AT, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2006
- Certification date
- Jan 14, 2023
- Last updated
- Jan 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 613-039 | WI | Yes |
Practice location
1725 State St.214 Mitchell Hall
La Crosse, WI 54601-3742
Phone 608-785-8196 · Fax 608-785-6561
Mailing address
1725 State StLa Crosse, WI 54601-3742
Phone 608-785-8196
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All 37 Athletic Trainer providers in La Crosse · All 4,035 providers in La Crosse
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