Robert Blume Jr.

Individual provider Active NPI Athletic Trainer · Marathon, WI

NPI 1609285964 · NPPES record last updated Aug 11, 2014

Key facts

NPI
1609285964
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
4029 County Road B
Marathon, WI 54448-9668
Phone
(715) 551-6174
NPI assigned
Aug 11, 2014
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 Yes

Addresses

Primary practice location

4029 County Road B
Marathon, WI 54448-9668

Mailing address

4029 County Road B
Marathon, WI 54448-9668
Phone (715) 551-6174

Other providers in Marathon, WI

All providers in Marathon, WI · Athletic Trainer in Wisconsin

Sources for this page

Verify at the official NPI Registry.