Search › Wisconsin › 2255A2300X
Sean Blazier, LAT, ATC, USAT
NPI 1417625757 · on the registry since 2021 · sole proprietor
Practice
- Address
- 12800 N Lake Shore Dr
Mequon, WI 53097 - Phone
- (262) 243-2682
- Organisation at this address
- Concordia University, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-08
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