Whalio Doctors

NPI 1568903631

Mitchell Thomas O'Neil, LATATC

Practitioner Athletic Trainer Superior, WI

Practice location

Address
1810 Catlin Ave, Superior, WI 54880
Phone
(763) 355-7083
Mailing address
1305 E 4th St, Superior, WI 54880-3350

Registered specialties (3)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2411 (WI)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 3232 (MN)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1568903631
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Mar 2017
Record last updated
13 Sep 2021

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.