RAVEN GMACH, LAT, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1619488012
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 2424-39 (WI) |
Frequently Asked Questions
NPI 1619488012 is the National Provider Identifier for RAVEN GMACH, LAT, ATC, a Specialist/Technologist - Athletic Trainer provider located in Oshkosh, WI. This NPI was enumerated on October 12, 2017.
RAVEN GMACH, LAT, ATC practices at 800 ALGOMA BLVD, Oshkosh, WI 54901.
Quick Facts
- NPI
- 1619488012
- Type
- Individual
- Enumerated
- Oct 12, 2017
- Last Updated
- Jun 22, 2021
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