NPI 1083150957

Sadie Buboltz-Dubs, DATLATATC

Practitioner Athletic Trainer Green Bay, WI

Practice location

Address: 2420 Nicolet Dr, Green Bay, WI 54311-7003
Phone: (920) 377-1544
Mailing address: 1348 George St, De Pere, WI 54115-3527

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1482-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1083150957
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2017
Record last updated: 30 Apr 2020

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.