NPI 1124412192

Anna Kinzel

Practitioner Athletic Trainer Mequon, WI

Practice location

Address: 12800 N Lake Shore Dr, Mequon, WI 53097-2418
Phone: (262) 243-2681
Mailing address: 1839 1st Ave, Grafton, WI 53024-2208

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1621 - 39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1124412192
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2015
Record last updated: 26 Mar 2015

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.