Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH WILLIAM MIESSAU, ATC, LAT
Active Sole ProprietorKEITH WILLIAM MIESSAU, ATC, LAT is a Athletic Trainer healthcare provider located in LAKE MARY, Florida. NPI 1750357869 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAKE MARY, FL
Registration Details
- NPI Number
- 1750357869
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2006 (20.415646714848 yrs)
- Last Updated
- Apr 29, 2008
- License
-
AL 1930 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
655 LONGWOOD LAKE MARY RDLAKE MARY, FL, 327463701Browse FL providers · Browse ZIP 32746
- Phone
- 4073209753
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LAKE MARY, FL
| Name | Credential | NPI |
|---|---|---|
| JEFF DANIEL FEROGLIA | ATC,LAT | 1013057819 |
| ERIC EDWIN SWANNIE | ATC, LAT, CSCS | 1033385620 |
| MARK ARDEN BENEDICT | ATC, LAT | 1083993489 |
| MEGAN WILKINS | ATC | 1902211394 |
| MR. TYRUS GILBERT ARNOLD JR. | — | 1952091977 |
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.