Eli Shucha
Eli Shucha is an Athletic Trainer in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2028 Fish Hatchery Rd Apt 2Madison, WI 53713-1261
Phone: (608) 208-2364
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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 (WI) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X (WI) |
Record details
| NPI number | 1790666733 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2025 |
| Last updated in NPPES | September 8, 2025 |
| Certification date | September 8, 2025 |
| Mailing address | 2028 Fish Hatchery Rd Apt 2, Madison, WI 53713-1261 |
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