MR. NATHAN DELOVELY


Address: 2600 65th Ave, Osceola, WI 54020-4370
Phone: 7152944538

MR. NATHAN DELOVELY (NPI# 1295196848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295196848
Entity Type Individual
Full Name MR. NATHAN DELOVELY
Credential ATC
Practice Address 2600 65th Ave
Osceola
WI 54020-4370
Mailing Address 129 Cottage Dr
Osceola
WI 54020-4357
Practice Telephone 7152944538
Mailing Telephone 2182065619
Enumeration Date 2016-03-10
Last Update Date 2020-07-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3908 Hoffman Road, Apt 3b, White Bear Lake, MN 551101218 2182065619

Office Location

Street Address 2600 65TH AVE
City OSCEOLA
State WI
Zip Code 54020-4370

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124071865 Kamil N. Sayegh Internal Medicine 2600 65th Ave, Osceola, WI 54020 2006-05-17
1609437607 Robert Seiberlich Physical Therapist 2600 65th Ave, Osceola, WI 54020-4370 2019-06-21
1891259743 William James Ryan Physician Assistant 2600 65th Ave, Osceola, WI 54020-4370 2019-01-24
1376029017 Justin Himes Pharmacist 2600 65th Ave, Osceola, WI 54020-4370 2018-07-16
1336634377 Mary Elizabeth Gustafson Pharmacist 2600 65th Ave, Osceola, WI 54020-4370 2018-06-22
1801394549 Ladd Memorial Hospital Clinic/Center 2600 65th Ave, Osceola, WI 54020-4370 2018-01-29
1811429566 Heather Kaye Ross Occupational Therapy Assistant 2600 65th Ave, Osceola, WI 54020-4370 2017-03-31
1477905362 Rochelle Manik Catherine Samarasekera Family Medicine 2600 65th Ave, Osceola, WI 54020-4370 2016-07-05
1578917316 Tony Huy Tien Nguyen Family Medicine 2600 65th Ave, Osceola, WI 54020-4370 2016-04-18
1043675614 Chelsea O'brien Dietitian, Registered 2600 65th Ave, Osceola, WI 54020-4370 2015-12-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568063907 Osceola Family Dental, Ltd Clinic/Center 215 N Cascade St, Osceola, WI 54020 2020-11-03
1780177840 Joseph John Clymer Social Worker 405 Delmar Ave, Osceola, WI 54020 2018-06-12
1811401763 Tiffany Morris Acupuncturist 207 N Cascade St, Osceola, WI 54020 2017-11-29
1255842779 Olson Cc Wellness LLC Chiropractor 307 N Cascade Street, Osceola, WI 54020 2017-10-24
1396266599 Danelle Mortenson Counselor 204 3rd Ave., Suite 100, Osceola, WI 54020 2017-06-28
1306200076 Wendy Field Registered Nurse 2789 Cloutier Ct, Osceola, WI 54020 2016-04-08
1023391877 Christian Community Home of Osceola, Inc. Skilled Nursing Facility 2650 65th Ave, Osceola, WI 54020 2011-09-27
1073768602 Jamie J Mason Marriage & Family Therapist 204 3rd Ave W, Suite 100, Osceola, WI 54020 2008-11-24
1710137963 Michelle Lynn Thoen Counselor 307 N Cascade St, Third Floor, Osceola, WI 54020 2008-09-24
1457533903 School District of Osceola Local Education Agency (LEA) 331 Middle School Dr, Osceola, WI 54020 2007-11-27
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427657329 Tyler John Friis Specialist/Technologist 1514 E Keystone Ln, Appleton, WI 54913-7162 2020-10-21
1184222085 Ryan James Mcnamara Specialist/Technologist 28914 Golden Cir, Waterford, WI 53185-1197 2020-10-13
1770198699 Tanner Sterling Specialist/Technologist 2538 E Garrison Rd, Foxboro, WI 54836-9507 2020-09-09
1922626670 Eric William Brostrom Specialist/Technologist 3305 Lilly Rd, Brookfield, WI 53005-7608 2020-07-09
1174146690 Brycen Valiga Specialist/Technologist 4477 S 113th St, Greenfield, WI 53228-2566 2020-05-19
1104448307 Xeing Randy Yang Specialist/Technologist 2207 Namekagon St, Hudson, WI 54016-9426 2020-05-11
1073134615 Brian Wood Specialist/Technologist 1950 Washington St, Grafton, WI 53024-2103 2020-05-06
1124649751 Cody Scott Tesch Specialist/Technologist 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 2020-05-05
1659992642 Kelley Potila Specialist/Technologist 255 Maggilu Ct, Jefferson, WI 53549-2095 2020-04-30
1366070708 Claire Duwell Specialist/Technologist 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 2020-03-31
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Competitor

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City OSCEOLA
Zip Code 54020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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