NPI 1164727467

Jonathan Gary Hubbard, MSLAT

Practitioner Athletic Trainer Waukesha, WI

Practice location

Address: 1111 Delafield St Suite 120, Waukesha, WI 53188-3417
Phone: (262) 544-5311

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 46526 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1164727467
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2011
Record last updated: 18 Jan 2011

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.