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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WYATT HENKENIUS, LAT, ATC

Active Sole Proprietor

WYATT HENKENIUS, LAT, ATC is a Athletic Trainer healthcare provider located in PEWAUKEE, Wisconsin. NPI 1326697400 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PEWAUKEE, WI

Registration Details

NPI Number
1326697400
Provider Type
Individual
Gender
Male
NPI Issued
Sep 10, 2019 (6.8892757246478 yrs)
Last Updated
Sep 10, 2019
License
083438 (IA)
Sole Proprietor
Yes

Practice Information

Address
285 FOREST GROVE DR
PEWAUKEE, WI, 530723782
Browse WI providers · Browse ZIP 53072
Phone
6417459378
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PEWAUKEE, WI

Name Credential NPI
MS. MARY COLLEEN DALY ATC 1366462319
AMY BEYER LAT, WCMT 1013049402
JAMES E DONALDSON LAT 1447451455
ADAM FLETCHER LAT 1043414881
JESSI REA ATC 1598954844
MARIA KOHLWEY LAT 1215296249
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.