NPI 1033655477

David Paul Krukemyer, ATC

Practitioner Athletic Trainer Mequon, WI

Practice location

Address: 12800 N Lake Shore Dr, Mequon, WI 53097-2418
Phone: (262) 243-2140
Mailing address: W55n223 Woodmere CT APT 1, Cedarburg, WI 53012-2831

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2527-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-344 (HI)

Registry record

NPI: 1033655477
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2017
Record last updated: 9 Feb 2023

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.