Jarret S Byrnes, ATC
Individual provider Active NPI Athletic Trainer · Superior, WI
NPI 1861980237 · NPPES record last updated May 1, 2018
Key facts
- NPI
- 1861980237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 5615 Hughitt Ave
Superior, WI 54880-7231 - Phone
- (218) 464-7027
- NPI assigned
- May 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
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
5615 Hughitt Ave
Superior, WI 54880-7231
Mailing address
5615 Hughitt Ave
Superior, WI 54880-7231
Phone (218) 464-7027
Other providers in Superior, WI
- Georgia Dimos Brunette
- Robert A. Bukowski
- Jennifer Ann Bulin
- Ellen Bursch
- Elizabeth B Byler
- C R Ross Services LLC
- C.W. Medical Transport LLC
- Daniel Cabot
- Mark D Callaway
- Michelle Lee Cannon
All providers in Superior, 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 May 1, 2018. 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.