Individual
JEFFREY JAMES BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7100
(920) 456-7101
Mailing address
694 S MARR ST, FOND DU LAC, WI 54935-5853
(920) 921-6587
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
39-039
WI
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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