Individual
MR. NATHAN DELOVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-4538
Mailing address
129 COTTAGE DR, OSCEOLA, WI 54020-4357
(218) 206-5619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
07/31/2020
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