Dillon John Fasse, LAT, ATC
Specialist/Technologist, Athletic Trainer in Menomonee Falls, WI. Individual provider (NPI-1).
NPI number1003357005
StatusActive
Last updated in NPPESMar 10, 2017
Details
- NPI
- 1003357005
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dillon John Fasse
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2017
- Last updated
- Mar 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1929-39 | WI | Yes |
Practice location
W156n9000 Pilgrim RdMenomonee Falls, WI 53051-2272
Phone 262-502-8752
Mailing address
W290s4827 Parke Ln WWaukesha, WI 53189-9047
Phone 262-391-7952
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All 13 Athletic Trainer providers in Menomonee Falls · All 1,209 providers in Menomonee Falls
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