NPI 1821352980

Jessica Ann Stading, ATC

Practitioner Athletic Trainer Franklin, WI

Practice location

Address: 9120 W Loomis Rd STE 100, Franklin, WI 53132-9083
Phone: (414) 858-1740
Fax: (414) 858-1741
Mailing address: 26919 113th St, Trevor, WI 53179-9719

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1267-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1821352980
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2012
Record last updated: 3 Jul 2012

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.