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

Mr. Jay Joseph Davide, LAT

Individual provider Athletic Trainer · NPI 1477515989

Mr. Jay Joseph Davide, LAT is an Athletic Trainer in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

820 E Grant St
Appleton, WI 54911-3483
Phone: (920) 716-8137
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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 164039 (WI)

Record details

NPI number1477515989
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorNo
NPI enumeratedApril 3, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1191 Trailwood Dr, De Pere, WI 54115-1045

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