NPI 1093101255

Jeff Dauss, LAT

Practitioner Athletic Trainer Menomonee Falls, WI

Practice location

Address: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051-2301
Phone: (262) 532-1409
Mailing address: 2020 Terry Rd, Hartford, WI 53027-9725

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 403-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1093101255
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2015
Record last updated: 14 Apr 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.