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

TRACI GIBB, ATC, LAT

Active

TRACI GIBB, ATC, LAT is a Athletic Trainer healthcare provider located in JACKSON, Wisconsin. NPI 1265830806 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · JACKSON, WI

Registration Details

NPI Number
1265830806
Provider Type
Individual
Gender
Female
NPI Issued
Dec 14, 2014 (11.625775141919 yrs)
Last Updated
Jul 14, 2020
License
1475-39 (WI)

Practice Information

Address
W197N16960 STONEWALL DR
JACKSON, WI, 530378617
Browse WI providers · Browse ZIP 53037
Phone
4147509393
Primary Specialty
Athletic Trainer
2255A2300X
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.