Jeremy Amundson, LAT, ATC
Individual provider Active NPI Athletic Trainer · Eau Claire, WI
NPI 1952789786 · NPPES record last updated Feb 27, 2019
Key facts
- NPI
- 1952789786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1959-39 (WI)
- Practice address
- 1400 Bellinger St
Eau Claire, WI 54703 - Phone
- (715) 838-6161
- NPI assigned
- May 13, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1959-39 | WI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1959-39 | WI | Yes |
Addresses
Primary practice location
1400 Bellinger St
Eau Claire, WI 54703
Mailing address
8929 23Rd Ave S
Eau Claire, WI 54703-0182
Phone (715) 417-2165
Other practice location 1
1612 Eddy Ln
Eau Claire, WI 54703-0803
Phone (715) 417-2165
Other providers in Eau Claire, WI
- Laura Leigh Ambler
- Brittany Amborn
- Dominic Dotse Amegashitsi
- Tammy Onette Amoth
- Alissa Amundson
- Amy Hahn Art Therapy & Counseling LLC
- Nicholas Ray Anason
- John David Anczak
- Jaimee Marie Anders
- Jennifer Jean Andersen
All providers in Eau Claire, 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 Feb 27, 2019. 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.