Brian Joseph Meitner, L.A.T.
Specialist/Technologist, Athletic Trainer in Lake Mills, WI. Individual provider (NPI-1).
NPI number1013045103
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013045103
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Joseph Meitner
- Credential
- L.A.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 65-039 | WI | Yes |
Practice location
200 E Tyranena Park RdLake Mills, WI 53551-9678
Phone 920-648-8170 · Fax 920-648-8225
Mailing address
W9561 Grace LnCambridge, WI 53523-9753
Phone 608-423-4011 · Fax 608-423-3889
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