NPI 1114090628

Kristopher Karl Hartz, ATC

Practitioner Athletic Trainer Waukesha, WI

Practice location

Address: 100 N East Ave, Waukesha, WI 53186-3103
Phone: (262) 524-7701
Mailing address: 2218 S Mound St, Milwaukee, WI 53207-1334

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 175-039 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1114090628
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2006
Record last updated: 8 Jul 2007

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.