NPI 1033538509

Lydia G Tanney, LAT

Practitioner Athletic Trainer Green Bay, WI

Practice location

Address: 3046 Conesta Dr APT 1, Green Bay, WI 54311-4986
Phone: (920) 323-0880

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1033538509
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2014
Record last updated: 14 Apr 2014

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.