Brandon Michael Pennings, ATC, LAT

NPI #1215322011 in Denmark, Wisconsin

Provider Information

NPI Number
1215322011
Entity Type
Individual
Name
Brandon Michael Pennings, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Mar 30, 2015
Last Updated
Mar 30, 2015

Practice Location

Address
224 WISCONSIN AVE
ZIP Code
54208-9737
Phone
(920) 713-0702

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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