SearchWisconsinAthletic Trainer

Dillon Fasse, LAT, ATC

NPI 1003357005 · on the registry since 2017 · sole proprietor

Practice

Address
W156n9000 Pilgrim Rd
Menomonee Falls, WI 53051
Phone
(262) 502-8752
Clinicians at this address
3

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin