MR. Dillon John Fasse, LAT, ATC
NPI #1003357005 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1003357005
- Entity Type
- Individual
- Name
- MR. Dillon John Fasse, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Mar 10, 2017
- Last Updated
- Mar 10, 2017
Practice Location
- Address
- W156N9000 PILGRIM RD
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-2272
- Phone
- (262) 502-8752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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