Samuel Lawrence Konrath, ATC, LAT Valid NPI

Individual provider · Athletic Trainer · Menomonie, WI

NPI

1306335385

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

2466 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2018-05-06

Last updated

2021-10-14