NPI 1205346996

Kyla Ann Lichtenwalner, ATC

Practitioner Athletic Trainer Waukesha, WI

Practice location

Address: 2422 Fox River Pkwy Unit I, Waukesha, WI 53189-5803
Phone: (262) 501-6384
Mailing address: 3300 E Parkside Blvd, Appleton, WI 54915-5632

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Wisconsin →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Registry record

NPI: 1205346996
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2017
Record last updated: 7 Jul 2020

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.