NPI 1013049402

Amy Beyer, LATWCMT

Practitioner Athletic Trainer Pewaukee, WI

Practice location

Address: 21140 W Capitol Dr Suite 4, Pewaukee, WI 53072-2953
Phone: (262) 754-1650
Fax: (262) 754-0877

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 305-039 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1013049402
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2007
Record last updated: 24 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.