Joseph Hanel, LAT/ ATC

Individual provider Active NPI Athletic Trainer · Appleton, WI

NPI 1851758130 · NPPES record last updated Jan 18, 2016

Key facts

NPI
1851758130
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
1776 (WI)
Practice address
101 W Edison Ave
110
Appleton, WI 54915-1367
Phone
(920) 209-1662
NPI assigned
Jan 18, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Movement Studio, LLC Past
since Apr 6, 2015
Accepting new patients
Advanced Movement Studio Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1776 WI Yes

Addresses

Primary practice location

101 W Edison Ave
110
Appleton, WI 54915-1367

Mailing address

N1818 Swanee Cir
Greenville, WI 54942-8803
Phone (920) 809-7886

Other providers in Appleton, WI

All providers in Appleton, WI · Athletic Trainer in Wisconsin

Sources for this page

Verify at the official NPI Registry.