RUSSELL DONALD DE LAP ATC
NPI 1104969336
Specialist/Technologist - Athletic Trainer in Mequon, WI

Q: What is Russell De Lap's NPI number?

The NPI number for Russell De Lap is 1104969336. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Russell De Lap's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Russell De Lap was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 15, 2007

12800 N LAKE SHORE DR, MEQUON, WI 53097(262) 243-4323(262) 243-2969 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Russell Donald De Lap Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL DONALD DE LAP ATC (NPI 1104969336) is an individual athletic trainer provider in Mequon, Wisconsin, licensed in Wisconsin (4039) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104969336

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameRUSSELL DONALD DE LAPCredential: ATC

Location Address12800 N LAKE SHORE DRMequon, WI 53097-2418

Mailing Address1165 Tower Hill DrBrookfield, WI 53045-6705 · (262) 789-5040

Phone(262) 243-4323

Fax(262) 243-2969

Sole ProprietorNo

Enumeration DateFebruary 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104969336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in WI · 4039

Definition

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.

12800 N LAKE SHORE DR, Mequon, WI 53097

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA ESSEX

Student in an Organized Health Care Education/Training Program