| NPI | 1487683694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ELENA LANZA FEYRER Athletic Trainer 608-265-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 551-039) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-06-17 |