MRS. AMANDA MICHELLE KESLER (NPI# 1427405851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427405851 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA MICHELLE KESLER |
| Credential | LAT, ATC |
| Practice Address |
614 Memorial Dr Chilton WI 53014-1568 |
| Practice Telephone | 9208497508 |
| Practice Fax Number | 9208491811 |
| Mailing Telephone | 9208497508 |
| Mailing Fax Number | 9208491811 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1820-39 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
614 MEMORIAL DR |
| City | CHILTON |
| State | WI |
| Zip Code | 53014-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541748 | Ascension Calumet Hospital, Inc | General Acute Care Hospital | 614 Memorial Dr, Chilton, WI 53014-1568 | 2005-07-11 |
| 1063984250 | Baycare Clinic, LLP | Orthopaedic Surgery | 614 Memorial Dr, Chilton, WI 53014-1568 | 2018-12-28 |
| 1215454566 | Katherine Elizabeth Bieda | Physical Therapist | 614 Memorial Dr, Chilton, WI 53014-1568 | 2017-08-28 |
| 1952838534 | Jessica Marie Degroot | Occupational Therapist | 614 Memorial Dr, Chilton, WI 53014-1568 | 2017-05-15 |
| 1255865697 | Chee Nou Lee | Family Medicine | 614 Memorial Dr, Chilton, WI 53014-1568 | 2017-04-12 |
| 1265976286 | Tonya Marie Martinez | Nurse Practitioner | 614 Memorial Dr, Chilton, WI 53014-1568 | 2016-12-09 |
| 1962850826 | Pamela Jean Tews | Dietitian, Registered | 614 Memorial Dr, Chilton, WI 53014-1568 | 2016-06-01 |
| 1033596283 | Angela N Schaefer | Specialist/Technologist | 614 Memorial Dr, Rehabilitation Services, Chilton, WI 53014-1568 | 2015-04-27 |
| 1265799449 | Cynthia Lou Depies | Registered Nurse | 614 Memorial Dr, Chilton, WI 53014-1568 | 2012-04-12 |
| 1730445370 | Ursula Mueller | Registered Nurse | 614 Memorial Dr, Chilton, WI 53014-1568 | 2012-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659696664 | Csj Enterprises, LLC | Reflexologist | N3480 Fox Street, Chilton, WI 53014 | 2010-04-01 |
| 1033367149 | Jennifer L Schreiter Pethan | Physical Therapist | 614 Memorial Drive, Chilton, WI 53014 | 2008-09-03 |
| 1437280799 | Wal-mart Store East Lp | Technician/Technologist | 810 South Irish Road, Chilton, WI 53014 | 2007-03-08 |
| 1194894568 | Corinne Beth Monroe-mayer | Registered Nurse | N 4232 Long Rd, Chilton, WI 53014 | 2006-11-07 |
| 1225000599 | Sherry Ann Pribbernow | Registered Nurse | W2856 St Charles Rd, Chilton, WI 53014 | 2006-02-02 |
| 1073805222 | Forefront Dermatology, S.c. | Dermatology | 451 E Brooklyn St, Ste. 5, Chilton, WI 53014 | 2011-05-06 |
| 1588831739 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 618 Memorial Dr, Chilton, WI 53014 | 2008-05-15 |
| 1972709681 | Debra Ann Rollmann | Registered Nurse | 225 N State St, Chilton, WI 53014 | 2007-06-21 |
| 1346395134 | Sivanandhini Muthiah | Speech-Language Pathologist | 443 Manhattan St, New Hope Center Inc, Chilton, WI 53014 | 2007-01-24 |
| 1417053281 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 618 Memorial Dr, Chilton, WI 53014 | 2006-09-16 |
| Find all providers in zip 53014 | ||||
| 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 |
|---|---|---|---|---|
| 1033596283 | Angela N Schaefer | Specialist/Technologist | 614 Memorial Dr, Rehabilitation Services, Chilton, WI 53014-1568 | 2015-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
| 1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
| 1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
| 1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
| 1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
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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.