Individual
NATHAN DUFAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
307 S LIVINGSTON ST, MADISON, WI 53703-3513
(608) 250-1775
(608) 250-1777
Mailing address
307 S LIVINGSTON ST, MADISON, WI 53703-3513
(608) 250-1775
(608) 250-1777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/26/2011
Last updated
07/16/2021
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