NPI 1023487170

Madeline Dallman, LAT

Practitioner Athletic Trainer Mequon, WI

Practice location

Address: 12800 N Lake Shore Dr, Mequon, WI 53097-2418
Phone: (262) 993-1669
Mailing address: N7529 Pawling Pl, Hartland, WI 53029

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2095-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1023487170
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2015
Record last updated: 8 May 2019

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.