Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALTON VENDEN
Active Sole ProprietorDALTON VENDEN is a Athletic Trainer healthcare provider located in WATERLOO, Wisconsin. NPI 1609261841 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WATERLOO, WI
Registration Details
- NPI Number
- 1609261841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2015 (11.336741444057 yrs)
- Last Updated
- Apr 4, 2015
- License
-
2601001252 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
448 W MADISON STWATERLOO, WI, 535941325Browse WI providers · Browse ZIP 53594
- Phone
- 9209888312
- 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.