Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA NICOLE BENGTSON, MS, ATC, LAT
Active Sole ProprietorMS. LISA NICOLE BENGTSON, MS, ATC, LAT is a Athletic Trainer healthcare provider located in STORM LAKE, Iowa. NPI 1568880375 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STORM LAKE, IA
Registration Details
- NPI Number
- 1568880375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2014 (12.339414868913 yrs)
- Last Updated
- Mar 31, 2014
- License
-
000787 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
610 W 4TH STSTORM LAKE, IA, 505881713Browse IA providers · Browse ZIP 50588
- Phone
- 7127492021
- Fax
- 7127491460
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STORM LAKE, IA
| Name | Credential | NPI |
|---|---|---|
| KATHERINE A FRICK | ATC | 1952840753 |
| CHRISTOPHER ANTHONY MOORE | LAT, ATC | 1316595432 |
| MELISSA KLEINSCHMIT | MS, ATC, LAT | 1366089336 |
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.