NPI 1013045103

Brian Joseph Meitner, LAT

Practitioner Athletic Trainer Lake Mills, WI

Practice location

Address: 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678
Phone: (920) 648-8170
Fax: (920) 648-8225
Mailing address: W9561 Grace Ln, Cambridge, WI 53523-9753

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 65-039 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1013045103
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
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.