Nathan M Brine, ATC LAT

NPI #1053607499 in Hudson, Wisconsin

Provider Information

NPI Number
1053607499
Entity Type
Individual
Name
Nathan M Brine, ATC LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC LAT
Enumeration Date
Jun 23, 2011
Last Updated
Jun 23, 2011

Practice Location

Address
2305 WILLIS MILLER DR
City
Hudson
ZIP Code
54016
Phone
(715) 386-1155

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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