NPI 1003357823

Gina Gambucci, MSLATATCOTC

Practitioner Athletic Trainer Kenosha, WI

Practice location

Address: 6308 8th Ave, Kenosha, WI 53143-5031
Phone: (262) 656-2011
Mailing address: 3229 Old Hickory Pl, West Bend, WI 53095-8315

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1003357823
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2017
Record last updated: 7 Jan 2021

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.