Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES R BEVERSDORF, LAT, CSCS, PES
ActiveJAMES R BEVERSDORF, LAT, CSCS, PES is a Athletic Trainer healthcare provider located in GREEN BAY, Wisconsin. NPI 1073508743 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GREEN BAY, WI
Registration Details
- NPI Number
- 1073508743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2005 (20.862456897525 yrs)
- Last Updated
- Jul 8, 2007
- License
-
24-039 (WI)
Practice Information
- Address
-
215 N WEBSTER AVEGREEN BAY, WI, 543014813Browse WI providers · Browse ZIP 54301
- Phone
- 9204304750
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| MR. MARK THOMAS HUSEN | ATC, LAT | 1568456598 |
| ROLAND JOSEPH SCHMIDT | LAT/ATC | 1235124157 |
| MR. CHAD ALAN CARTER | LAT ATC | 1639165079 |
| MONICA ANN WAGNER | LAT | 1366438335 |
| MR. TERRY ROBERT BEECK | LAT/ATC | 1629066451 |
| ANGELA YVONNE PUCHALLA | LAT, ATC | 1114917580 |
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.