Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADY MICHAEL LISEC
ActiveBRADY MICHAEL LISEC is a Athletic Trainer healthcare provider located in LAKE WAUKOMIS, Missouri. NPI 1437030277 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAKE WAUKOMIS, MO
Registration Details
- NPI Number
- 1437030277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2025 (0.96479513425717 yrs)
- Last Updated
- Sep 9, 2025
Practice Information
- Address
-
373 NW NORTH SHORE DRLAKE WAUKOMIS, MO, 641511455Browse MO providers · Browse ZIP 64151
- Phone
- 8168681557
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Student (Health Education/Training)
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.