Jason Anderson, LAT

NPI 1881729671 · on the registry since 2007

Practice

Address: 1111 Delafield St Ste 120
Waukesha, WI 53188
Phone: (262) 521-9762
Fax: (262) 521-1091
Organisation at this address: Mmc Mri Llc
Oaw Asc, Llc
Arnavaz Dua Md Sc
Gi Specialists Llc
Pewaukee Vision Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 167

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: 2007-07-08

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