NPI 1003978966

Andrea E Jones, LAT

Practitioner Athletic Trainer Green Bay, WI

Practice location

Address: 1630 Commanche Ave, Green Bay, WI 54313-5753
Phone: (920) 430-4754
Mailing address: 520 Commercial St APT 5, Seymour, WI 54165-8461

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 794-039 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1003978966
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2006
Record last updated: 8 Jul 2007

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.