Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEIDRE A.L DAVIS
Active Sole ProprietorDEIDRE A.L DAVIS is a Athletic Trainer healthcare provider located in GREEN BAY, Wisconsin. NPI 1861253205 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GREEN BAY, WI
Registration Details
- NPI Number
- 1861253205
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2024 (2.5685506909027 yrs)
- Last Updated
- Sep 11, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 CHICAGO ST APT 2GREEN BAY, WI, 543013966Browse WI providers · Browse ZIP 54301
- Phone
- 9202174266
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| MR. MARK THOMAS HUSEN | ATC, LAT | 1568456598 |
| ROLAND JOSEPH SCHMIDT | LAT/ATC | 1235124157 |
| JAMES R BEVERSDORF | LAT, CSCS, PES | 1073508743 |
| MR. CHAD ALAN CARTER | LAT ATC | 1639165079 |
| MONICA ANN WAGNER | LAT | 1366438335 |
| MR. TERRY ROBERT BEECK | LAT/ATC | 1629066451 |
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.