IndividualActive
Daniel Gaertner
NPI 1619406980 · Athletic Trainer · Moscow, ID
Provider details
- NPI number
- 1619406980
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
709 S Deakin St
Moscow, ID 83844-9802
Phone: (414) 758-4177
Approximate (ZIP-level) locationGet directions
Mailing address
11235 W Whitaker Ave
Greenfield, WI 53228-2513
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2017-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.