Madeline Mittlestadt
Specialist/Technologist, Athletic Trainer in Waukesha, WI. Individual provider (NPI-1).
NPI number1699201053
StatusActive
Last updated in NPPESMar 25, 2021
Details
- NPI
- 1699201053
- Entity type
- Individual (NPI-1)
- Name
- Madeline Mittlestadt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2017
- Certification date
- Mar 25, 2021
- Last updated
- Mar 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1029 Madison St Lowr UnitWaukesha, WI 53188-4331
Phone 920-213-3417
Mailing address
1029 Madison St Lowr UnitWaukesha, WI 53188-4331
Phone 920-213-3417
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All 37 Athletic Trainer providers in Waukesha · All 3,394 providers in Waukesha
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