Travis L. Adams, LAT

Individual provider Active NPI Athletic Trainer · Marshfield, WI

NPI 1124368188 · NPPES record last updated Feb 27, 2013

Key facts

NPI
1124368188
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
1439 (WI)
Practice address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone
(715) 387-5511
NPI assigned
Feb 27, 2013
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1439 WI Yes

Addresses

Primary practice location

1000 N Oak Ave
Marshfield, WI 54449-5703

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other providers in Marshfield, WI

All providers in Marshfield, WI · Athletic Trainer in Wisconsin

Sources for this page

Verify at the official NPI Registry.