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

HANNAH MOODY, ATC, LAT

Active Sole Proprietor

HANNAH MOODY, ATC, LAT is a Athletic Trainer healthcare provider located in MILWAUKEE, Wisconsin. NPI 1134465875 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MILWAUKEE, WI

Registration Details

NPI Number
1134465875
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2012 (13.584898723818 yrs)
Last Updated
Aug 19, 2016
Licenses
096.003198 (IL)
1792-39 (WI)
Sole Proprietor
Yes

Practice Information

Address
604 N 16TH ST
CRAMER HALL, ROOM 215
MILWAUKEE, WI, 532332117
Browse WI providers · Browse ZIP 53233
Phone
4142881400
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in MILWAUKEE, WI

Name Credential NPI
ANTHONY A KACZKOWSKI LAT 1194717637
CHRISTIAN J MACKENZIE LAT 1154314318
MARIO SCHACKELMAN LAT 1912990177
MARK E COLE IV ATC,LAT,CSCS 1366435414
MR. JIM F SCHILLING MS, LAT 1457340663
MR. ANDRE DANIEL ATC, CSCS, NASM-PES 1790758951
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.