NPI 1013905975

Kristina R Koyen, LAT

Practitioner Athletic Trainer Sturgeon Bay, WI

Practice location

Address: 323 S 18th Ave, Sturgeon Bay, WI 54235-1401
Phone: (920) 495-4303
Mailing address: 438 N 6th Ave, Sturgeon Bay, WI 54235-2118

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 48539 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1013905975
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2005
Record last updated: 9 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.