NPI 1003357005

Dillon John Fasse, LATATC

Practitioner Athletic Trainer Menomonee Falls, WI

Practice location

Address: W156n9000 Pilgrim Rd, Menomonee Falls, WI 53051-2272
Phone: (262) 502-8752
Mailing address: W290s4827 Parke Ln W, Waukesha, WI 53189-9047

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1929-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1003357005
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2017
Record last updated: 10 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.