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

TIMOTHY WILLIAM PIECZARA, MS, LAT, ATC, EMT

Active Sole Proprietor

TIMOTHY WILLIAM PIECZARA, MS, LAT, ATC, EMT is a Athletic Trainer healthcare provider located in WAUWATOSA, Wisconsin. NPI 1407492358 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WAUWATOSA, WI

Registration Details

NPI Number
1407492358
Provider Type
Individual
Gender
Male
NPI Issued
Nov 25, 2019 (6.7294767814569 yrs)
Last Updated
Sep 26, 2023
Licenses
0966488 (PA)
3124-39 (WI)
Sole Proprietor
Yes

Practice Information

Address
11011 W NORTH AVE APT 119
WAUWATOSA, WI, 532262275
Browse WI providers · Browse ZIP 53226
Phone
7248097968
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in WAUWATOSA, WI

Name Credential NPI
MR. JOSEPH RICHARD CIESZYNSKI ATC 1700901808
HANNAH KORALY LAT, ATC 1356622187
ALLISON HOCKING-ROBERTS LAT, ATC 1124418942
DR. SUSAN WILBANKS PHD, ATC, CSCS 1124570551
CARRIE GETKA LAT, ATC 1992231823
EMILY PAUL 1245701788
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.