NPI 1366462319

Mary Colleen Daly, ATC

Practitioner Athletic Trainer Pewaukee, WI

Practice location

Address: 2835 N Grandview Blvd Siute 100, Pewaukee, WI 53072-5531
Phone: (262) 574-1100
Mailing address: 2606a E Park Pl, Milwaukee, WI 53211-3840

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 256-039 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1366462319
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2006
Record last updated: 8 Jul 2007

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.