JESSIE BROVOLD, ATC, ATR
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1255326831
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 655-039 (WI) |
Frequently Asked Questions
NPI 1255326831 is the National Provider Identifier for JESSIE BROVOLD, ATC, ATR, a Specialist/Technologist - Athletic Trainer provider located in Waukesha, WI. This NPI was enumerated on September 20, 2005.
JESSIE BROVOLD, ATC, ATR practices at 1111 DELAFIELD ST, 120, Waukesha, WI 53188.
Quick Facts
- NPI
- 1255326831
- Type
- Individual
- Enumerated
- Sep 20, 2005
- Last Updated
- Apr 28, 2013
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