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

RICK DVORAK, ATC, LAT

Active

RICK DVORAK, ATC, LAT is a Athletic Trainer healthcare provider located in KENOSHA, Wisconsin. NPI 1164879300 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · KENOSHA, WI

Registration Details

NPI Number
1164879300
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2016 (10.200098545891 yrs)
Last Updated
May 18, 2016
License
1818 (WI)

Practice Information

Address
2717 18TH ST
SUITE 100
KENOSHA, WI, 531404666
Browse WI providers · Browse ZIP 53140
Phone
2625515650
Fax
8662458064
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in KENOSHA, WI

Name Credential NPI
MR. DINO LAURENZI JR. L-ATC 1699767673
LAURIE ANNE JENSEN ATC 1295723849
MR. LAMOYNE HAWLEY AT,C 1881730018
MR. MATTHEW WILLIAM WINANS LAT 1376676700
MR. JOSEPH J OLSZEWSKI MS LAT CSCS 1639202971
MR. ERIC M. AHONEN ATC 1366769754
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.