MR. JAY DAVIDE, LAT
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1477515989
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 164039 (WI) |
Frequently Asked Questions
NPI 1477515989 is the National Provider Identifier for MR. JAY DAVIDE, LAT, a Specialist/Technologist - Athletic Trainer provider located in Appleton, WI. This NPI was enumerated on April 3, 2006.
MR. JAY DAVIDE, LAT practices at 820 E GRANT ST, Appleton, WI 54911.
Quick Facts
- NPI
- 1477515989
- Type
- Individual
- Enumerated
- Apr 3, 2006
- Last Updated
- Jul 8, 2007
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