CHANCELOR LUCAS HERNANDEZ MA, ATC, LAT
NPI 1336529296
Specialist/Technologist - Athletic Trainer in Beaver Dam, WI

Q: What is Chancelor Hernandez's NPI number?

The NPI number for Chancelor Hernandez is 1336529296. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Q: What is Chancelor Hernandez's specialty?

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

Active since June 05, 2015

707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 219-4009 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chancelor Lucas Hernandez Ma, Atc, Lat NPPES

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

CHANCELOR LUCAS HERNANDEZ MA, ATC, LAT (NPI 1336529296) is an individual athletic trainer provider in Beaver Dam, Wisconsin, licensed in Wisconsin (1063-39) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1336529296

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameCHANCELOR LUCAS HERNANDEZCredential: MA, ATC, LAT

Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027

Mailing Address207 Monroe St Apt 9Beaver Dam, WI 53916-2475 · (920) 382-7313

Phone(920) 219-4009

Sole ProprietorYes

Enumeration DateJune 5, 2015

✔ NPI 1336529296 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 · 1063-39

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.

707 S UNIVERSITY AVE, Beaver Dam, WI 53916

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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.

BEAVER DAM COMMUNITY HOSPITALS INC

General Acute Care Hospital