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STEPHANIE WICKSTROM LAT
NPI 1255634226
Specialist/Technologist - Athletic Trainer in Eau Claire, WI

Active since December 14, 2010
1400 BELLINGER ST., EAU CLAIRE, WI 54702(715) 838-6453 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Wickstrom Lat NPPES

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

STEPHANIE WICKSTROM LAT (NPI 1255634226) is an individual athletic trainer provider in Eau Claire, Wisconsin, licensed in Wisconsin (1078-39) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1255634226
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSTEPHANIE WICKSTROMCredential: LAT
Location Address1400 BELLINGER ST.Eau Claire, WI 54702-1510
Mailing Address1400 Bellinger St., P.o. Box1510Eau Claire, WI 54702-1510 · (715) 838-6453
Phone(715) 838-6453
Sole ProprietorNo
Enumeration DateDecember 14, 2010
Last NPPES UpdateOctober 27, 2014
✔ NPI 1255634226 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 · 1078-39
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.
1400 BELLINGER ST., Eau Claire, WI 54702
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Other Names 1

Former Name (1)Stephanie Jenner Lat

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Wickstrom's NPI number?

The NPI number for Stephanie Wickstrom is 1255634226. It was assigned to this individual provider in the NPPES registry on December 14, 2010. The provider is also known as Stephanie Jenner Lat.

Where is Stephanie Wickstrom located?

Stephanie Wickstrom practices at 1400 Bellinger St., Eau Claire, WI 54702. The listed phone number is (715) 838-6453.

What is Stephanie Wickstrom's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephanie Wickstrom was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.