NPI 1225537129

Mark Joseph Sniadecki, LAT

Practitioner Athletic Trainer Pewaukee, WI

Practice location

Address: 285 Forest Grove Dr, Pewaukee, WI 53072-3782
Phone: (877) 732-2262
Mailing address: PO Box 250, Pewaukee, WI 53072-0250

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 286-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1225537129
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2018
Record last updated: 6 Feb 2018

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.