IndividualActive
Andre Daniel, ATC, CSCS, NASM-PES
NPI 1790758951 · Athletic Trainer · Milwaukee, WI
Provider details
- NPI number
- 1790758951
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, CSCS, NASM-PES
- Sex
- Male
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3501 S Lake Dr
Milwaukee, WI 53235-0900
Phone: (414) 294-4900
Approximate (ZIP-level) locationGet directions
Mailing address
8961 S Chicago Rd
Oak Creek, WI 53154-4249
Registry dates
- Enumerated
- 2006-02-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.