- Practice location
- W3718 South Dr, Lakeland College - Athletics, Plymouth, WI 53073-4878
- Phone
- 920-565-1510
- Fax
- —
- Last updated
- June 11, 2019
Dai Sugimoto is a Specialist/Technologist, Athletic Trainer based in Plymouth, WI. Dai Sugimoto practices in Plymouth, WI and has the professional credentials of ATC. The NPI Number for Dai Sugimoto is 1588843007 and holds a License No. 763-039 (WI). The current practice location address for Dai Sugimoto is W3718 South Dr, Lakeland College - Athletics, Plymouth, WI 53073-4878 and can be reached out via phone at 920-565-1510.
Provider Profile Details
- NPI Number
- 1588843007
- Provider Name
- Dai Sugimoto
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- W3718 South Dr, Lakeland College - Athletics, Plymouth, WI 53073-4878
- Phone Number
- 920-565-1510
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2007
- Last Update Date
- June 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- W3718 South Dr
Lakeland College - Athletics
Plymouth, WI 53073-4878 - City
- Plymouth
- State
- Wisconsin
- Zip
- 53073-4878
- Phone Number
- 920-565-1510
Provider Business Mailing Address Details
- Address
- 150 Brown Street
2R
Waltham, MA 02453 - City
- Waltham
- State
- MA
- Zip
- 02453
- Phone Number
- 724-433-0778
License Information
- License Number
- 763-039
- License State
- WI
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Plymouth, WI
View all Specialist/Technologist, Athletic Trainers in Plymouth →Frequently Asked Questions
What is the NPI number of Dr. Dai Sugimoto, ATC?
The NPI number of Dr. Dai Sugimoto, ATC is 1588843007. It was assigned on November 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Dai Sugimoto, ATC?
Dr. Dai Sugimoto, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in WI under license number 763-039.
Where does Dr. Dai Sugimoto, ATC practice?
The practice location is W3718 South Dr, Lakeland College - Athletics, Plymouth, WI 53073-4878. The office can be reached at 920-565-1510 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588843007 directly on the NPPES registry website.