NPI 1043414881

Adam Fletcher, LAT

Practitioner Athletic Trainer Pewaukee, WI

Practice location

Address: 2835 N Grandview Blvd Suite 100, Pewaukee, WI 53072-5531
Phone: (262) 574-5185
Fax: (262) 574-5193
Mailing address: 1802 N 48th St, Milwaukee, WI 53208-1713

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 849039 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1043414881
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 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.