NPI 1083003842

Jarrod Dominiak, ATC

Practitioner Athletic Trainer Franklin, WI

Practice location

Address: 10101 S 27th St 2nd Floor, Franklin, WI 53132-7209
Phone: (414) 520-3886

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1343-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1083003842
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2015
Record last updated: 16 Jan 2015

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.