Brittney De Jong, MAT, ATC
Individual provider Active NPI Athletic Trainer · Freedom, WI
NPI 1548153166 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1548153166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- N4019 Vanden Bosch Rd
Freedom, WI 54130-7653 - Phone
- (920) 264-8002
- NPI assigned
- Jun 2, 2025
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
N4019 Vanden Bosch Rd
Freedom, WI 54130-7653
Mailing address
N4019 Vanden Bosch Rd
Freedom, WI 54130-7653
Other providers in Freedom, WI
- Lucy Rose Brockman
- Cassandra De Wolfe
- Dental Expressions SC
- Brooke Elizabeth Eberly
- Freedom School District
- Amber Louise Geiger
All providers in Freedom, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.