NPI 1275930505

Rod Joseph

Practitioner Athletic Trainer Pewaukee, WI

Practice location

Address: 285 Forest Grove Dr STE 207, Pewaukee, WI 53072-3738
Phone: (877) 732-2262

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 001622-1 (NY)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1275930505
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2014
Record last updated: 17 Mar 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.