Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TUCKER J BENJAMIN, ATS
Active Sole ProprietorAthletic Trainer · PRESCOTT, WI
Registration Details
- NPI Number
- 1477003127
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2016 (9.6027869906292 yrs)
- Last Updated
- Oct 6, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
W11052 457TH AVEPRESCOTT, WI, 540217657Browse WI providers · Browse ZIP 54021
- Phone
- 6518907110
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PRESCOTT, WI
| Name | Credential | NPI |
|---|---|---|
| MARIAH ANNE STEWART | — | 1790259554 |
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.