IndividualActive
Andre Harwell, LAT
NPI 1902848252 · Athletic Trainer · Milwaukee, WI
Provider details
- NPI number
- 1902848252
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT
- Sex
- Male
- Sole proprietor
- No
- License
- 722-039 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
625 E Saint Paul Ave
Milwaukee, WI 53202-5907
Phone: (414) 223-2727
Approximate (ZIP-level) locationGet directions
Mailing address
11931 W Mill Rd
Milwaukee, WI 53225-1023
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2007-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.