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

Jamie Destache

Individual provider Athletic Trainer · NPI 1558748780

Jamie Destache is an Athletic Trainer in Stevens Point, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2050 4th Ave
Stevens Point, WI 54481-1910
Phone: (262) 527-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1558748780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2015
Last updated in NPPESAugust 8, 2016
Mailing address1910 Columbia St, Eugene, OR 97403-1440

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