Deidre A.l Davis
Deidre A.l Davis is an Athletic Trainer in Green Bay, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
800 Chicago St Apt 2Green Bay, WI 54301-3966
Phone: (920) 217-4266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1861253205 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 22, 2024 |
| Last updated in NPPES | September 11, 2025 |
| Certification date | January 22, 2024 |
| Mailing address | 800 Chicago St Apt 2, Green Bay, WI 54301-3966 |
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