Whalio Doctors

NPI 1033430483

Evan Jay Bartusek, MSATC

Practitioner Athletic Trainer Fayette, IA

Practice location

Address
605 Washington St, Fayette, IA 52142-9206
Phone
(563) 425-5664

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000657 (IA)

Registry record

NPI
1033430483
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jun 2010
Record last updated
21 Jun 2010

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.