Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James R Beversdorf, LAT, CSCS, PES

Individual provider Athletic Trainer · NPI 1073508743

James R Beversdorf, LAT, CSCS, PES is an Athletic Trainer in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

215 N Webster Ave
Green Bay, WI 54301-4813
Phone: (920) 430-4750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 24-039 (WI)

Record details

NPI number1073508743
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , CSCS , PES
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESJuly 8, 2007

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