Avery Bannan
Avery Bannan is an Athletic Trainer in Sauk City, Wisconsin. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
E10931 State Road 60Sauk City, WI 53583-9607
Phone: (608) 370-2711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1871961474 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 13, 2015 |
| Last updated in NPPES | September 13, 2015 |
| Mailing address | E10931 State Road 60, Sauk City, WI 53583-9607 |