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

JAY MOMINEE, LAT

Active

JAY MOMINEE, LAT is a Athletic Trainer healthcare provider located in JANESVILLE, Wisconsin. NPI 1174647598 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · JANESVILLE, WI

Registration Details

NPI Number
1174647598
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2007 (19.364758307523 yrs)
Last Updated
Jul 8, 2007
License
878 (WI)

Practice Information

Address
1000 MINERAL POINT AVE
JANESVILLE, WI, 535482940
Browse WI providers · Browse ZIP 53548
Phone
6087566000
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in JANESVILLE, WI

Name Credential NPI
SARA BACHOFEN LAT 1891846069
CHAD ALLADIN LAT 1972654143
NATHAN MARESH LAT 1699926618
BRITTON STRAUB 1265802862
MORGAN KATHLEEN GRAHAM ATC, LAT 1033640578
ELYSE JOY MIDAS 1407370026
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.