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

Nathan M Brine, ATCLAT

Individual provider Athletic Trainer · NPI 1053607499

Nathan M Brine, ATCLAT is an Athletic Trainer in Hudson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011

Practice location Address checks out

2305 Willis Miller Dr
Hudson, WI 54016
Phone: (715) 386-1155
Fax: (715) 386-1105
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1005-39 (WI)

Record details

NPI number1053607499
Entity typeIndividual (Type 1)
GenderMale
Credentials ATCLAT
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESJune 23, 2011

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