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

DYLAN WITTMANN, ATC

Active Sole Proprietor

DYLAN WITTMANN, ATC is a Athletic Trainer healthcare provider located in MONROE, Wisconsin. NPI 1194191585 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MONROE, WI

Registration Details

NPI Number
1194191585
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2015 (10.947958054579 yrs)
Last Updated
Aug 19, 2015
License
1710-39 (WI)
Sole Proprietor
Yes

Practice Information

Address
515 22ND AVE
SPORTS MEDICINE
MONROE, WI, 535661569
Browse WI providers · Browse ZIP 53566
Phone
6083257529
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MONROE, WI

Name Credential NPI
MR. ERIC KATZENBERGER ATC 1730156092
DAYNA ELIZABETH MCKILLIGIN ATC 1275974404
JESSE JORGENSEN 1649687401
SCOTT SOJA ATC 1982231668
MR. ANTHONY JOHN BALTIERRA LAT, ATC 1548944945
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.