Individual
CHAD SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5534
Mailing address
PO BOX 320, POY SIPPI, WI 54967-0320
(920) 268-2826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
858-039
WI
Other
Enumeration date
04/04/2007
Last updated
11/18/2015
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