Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA YVONNE PUCHALLA LAT, ATC
NPI 1114917580
Specialist/Technologist - Athletic Trainer in Green Bay, WI

Q: What is Angela Puchalla's NPI number?

The NPI number for Angela Puchalla is 1114917580. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Q: What is Angela Puchalla'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 Angela Puchalla was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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 October 26, 2005

1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 655-3005 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angela Yvonne Puchalla Lat, Atc NPPES

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

ANGELA YVONNE PUCHALLA LAT, ATC (NPI 1114917580) is an individual athletic trainer provider in Green Bay, Wisconsin, licensed in Wisconsin (549-039) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1114917580

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameANGELA YVONNE PUCHALLACredential: LAT, ATC

Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-5753

Mailing Address1445 Carroll AveGreen Bay, WI 54304-3412

Phone(920) 655-3005

Sole ProprietorNo

Enumeration DateOctober 26, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1114917580 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 · 549-039

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.

1630 COMMANCHE AVE, Green Bay, WI 54313

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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.

ANDREA E JONES LAT

Specialist/Technologist (Athletic Trainer)