KYLA ANN LICHTENWALNER (NPI# 1205346996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205346996 |
| Entity Type | Individual |
| Full Name | KYLA ANN LICHTENWALNER |
| Credential | ATC |
| Practice Address |
2422 Fox River Pkwy Unit I Waukesha WI 53189-5803 |
| Mailing Address |
3300 E Parkside Blvd Appleton WI 54915-5632 |
| Practice Telephone | 2625016384 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2422 FOX RIVER PKWY UNIT I |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| Find all providers in zip 53189 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346041 | Ashley Caitlin Kenar | Specialist/Technologist | 2114 Woodburn Rd Unit H, Waukesha, WI 53188-7502 | 2020-01-29 |
| 1124569603 | Callie Elizabeth Sitter | Specialist/Technologist | W319s3250 Squire Rd, Waukesha, WI 53189-9293 | 2017-03-16 |
| 1396291829 | Kevin Kelenic | Specialist/Technologist | S32w27721 Daleview Dr, Waukesha, WI 53189-6023 | 2016-08-25 |
| 1265823173 | Michael Werner Reinker | Specialist/Technologist | 1936 Tree Line Ct, Waukesha, WI 53188-2655 | 2015-02-13 |
| 1306243563 | Cornell Smith | Specialist/Technologist | 2103 Summit Ave, Waukesha, WI 53188-3106 | 2014-12-03 |
| 1386608479 | Derek Carl Stebbins | Specialist/Technologist | 2709 Lander Ln, Waukesha, WI 53188-4554 | 2006-04-14 |
| 1740275601 | Michael Mcelroy | Specialist/Technologist | 1111 Delafield St Ste 120, Waukesha, WI 53188-3402 | 2005-09-16 |
| 1215542303 | Rhianna Rene Roskopf | Specialist/Technologist | 725 American Ave, Waukesha, WI 53188-5031 | 2020-09-15 |
| 1356804892 | Francesca Vittoria Catalano | Specialist/Technologist | 100 N East Ave, Waukesha, WI 53186-3103 | 2019-04-11 |
| 1235692781 | Brooke Dietsche | Specialist/Technologist | 100 N East Ave, Waukesha, WI 53186-3103 | 2019-04-11 |
| Find all providers in WAUKESHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.