Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSIE RAE BROVOLD, ATC, ATR
ActiveJESSIE RAE BROVOLD, ATC, ATR is a Athletic Trainer healthcare provider located in WAUKESHA, Wisconsin. NPI 1255326831 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WAUKESHA, WI
Registration Details
- NPI Number
- 1255326831
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2005 (20.869315188037 yrs)
- Last Updated
- Apr 28, 2013
- License
-
655-039 (WI)
Practice Information
- Address
-
1111 DELAFIELD ST120WAUKESHA, WI, 531883417Browse WI providers · Browse ZIP 53188
- Phone
- 2625445311
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WAUKESHA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY P SISCHO | DPT, LAT, PT | 1588657902 |
| MR. MICHAEL MCELROY | LAT, ATC, CSCS | 1740275601 |
| DAVID J DOMINGUESE | MS, ATC, CSCS | 1508820010 |
| MR. DEREK CARL STEBBINS | ATC | 1386608479 |
| MISS LACEY M RUNYON | DAT, LAT, ATC | 1811951700 |
| MR. BEETHOVEN CARABACAN | LAT, CSCS, BS, MS | 1760448617 |
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.