Individual
DELANIE JO FAYERWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LINCOLN DR, MADISON, WI 53706-1314
(608) 263-2400
Mailing address
2024 TENNYSON LN APT 302, MADISON, WI 53704-2494
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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