IndividualActive
Brian Wood, LAT
NPI 1073134615 · Athletic Trainer · Grafton, WI
Provider details
- NPI number
- 1073134615
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT
- Sex
- Male
- Sole proprietor
- No
- License
- 1331-39 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1950 Washington St
Grafton, WI 53024-2103
Phone: (414) 243-5853
Approximate (ZIP-level) locationGet directions
Mailing address
217 S Highland Ave
Thiensville, WI 53092-1805
Registry dates
- Enumerated
- 2020-05-06
- Last updated
- 2020-05-06
- Certified
- 2020-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.