Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSHUA DREW ICE, LAT
ActiveJOSHUA DREW ICE, LAT is a Athletic Trainer healthcare provider located in TOMAHAWK, Wisconsin. NPI 1083679575 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TOMAHAWK, WI
Registration Details
- NPI Number
- 1083679575
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2006 (20.296094356912 yrs)
- Last Updated
- Jul 8, 2007
- License
-
457-039 (WI)
Practice Information
- Address
-
401 W MOHAWK DRTOMAHAWK, WI, 544872218Browse WI providers · Browse ZIP 54487
- Phone
- 7154537725
- Fax
- 7154537717
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in TOMAHAWK, WI
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER ROBERT ORGEMAN | A.T.C. | 1205965209 |
| ALICIA WALL | ATC | 1679870539 |
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.