Justin Nelson, LAT Valid NPI

Individual provider · Athletic Trainer · Menomonie, WI

NPI

1548689342

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

1578-39 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2014-04-09

Last updated

2014-04-09