NPI 1215296249

Maria Kohlwey, LAT

Practitioner Athletic Trainer Pewaukee, WI

Practice location

Address: 2835 N Grandview Blvd STE. 100, Pewaukee, WI 53072-5546
Phone: (262) 574-5185
Mailing address: 790 Remington Blvd, Bolingbrook, IL 60440-4909

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1038-39 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1215296249
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2012
Record last updated: 2 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.