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

Individual provider Athletic Trainer · NPI 1477003127

Tucker J Benjamin, ATS is an Athletic Trainer in Prescott, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

W11052 457th Ave
Prescott, WI 54021-7657
Phone: (651) 890-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1477003127
Entity typeIndividual (Type 1)
GenderMale
Credentials ATS
Sole proprietorYes
NPI enumeratedOctober 6, 2016
Last updated in NPPESOctober 6, 2016
Mailing addressW11052 457th Ave, Prescott, WI 54021-7657

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