IndividualActive
Benjamin Hersh
NPI 1962345116 · Athletic Trainer · Glendale, WI
Provider details
- NPI number
- 1962345116
- 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
1113 W Glen River Rd
Glendale, WI 53217-4167
Phone: (414) 303-5814
Approximate (ZIP-level) locationGet directions
Mailing address
1113 W Glen River Rd
Glendale, WI 53217-4167
Registry dates
- Enumerated
- 2026-04-13
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.