Individual
PHILIP JASON MAZZEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1200 OAKLEAF WAY # A, ALTOONA, WI 54720-2245
(800) 322-1747
Mailing address
1519 GLADES DR, ALTOONA, WI 54720-2539
(715) 456-9109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2270-39
WI
Other
Enumeration date
01/22/2019
Last updated
09/11/2020
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