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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHAN M BRINE, ATC LAT

Active

NATHAN M BRINE, ATC LAT is a Athletic Trainer healthcare provider located in HUDSON, Wisconsin. NPI 1053607499 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · HUDSON, WI

Registration Details

NPI Number
1053607499
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2011 (15.101191388999 yrs)
Last Updated
Jun 23, 2011
License
1005-39 (WI)

Practice Information

Address
2305 WILLIS MILLER DR
HUDSON, WI, 54016
Browse WI providers · Browse ZIP 54016
Phone
7153861155
Fax
7153861105
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in HUDSON, WI

Name Credential NPI
KYLE JAMES OCHSNER ATC, SCCC 1669758892
MS. KRISTINA BURK ATC 1801282439
CONNOR POLING 1447611991
GAVIN THOMAS GOELTZ 1700340916
XEING RANDY YANG 1104448307
RACHEL AYERS ATC 1629949540
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.