Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY ALLEN CIESLAK, LAT,AT,C, EMT
Active Sole ProprietorMR. JEFFREY ALLEN CIESLAK, LAT,AT,C, EMT is a Athletic Trainer healthcare provider located in GLENDALE, Wisconsin. NPI 1457740979 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GLENDALE, WI
Registration Details
- NPI Number
- 1457740979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2015 (11.571135543646 yrs)
- Last Updated
- Jan 21, 2015
- License
-
0000195-039 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 W RIVERWOODS PKWYGLENDALE, WI, 53212Browse WI providers · Browse ZIP 53212
- Phone
- 4144653000
- 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.