MR. EVAN RICHARD MULDER DAT, LAT, OTC - NPI 1356745640 - Specialist/Technologist in Manitowoc, WI

Q: What is Evan Mulder's NPI number?

The NPI number for Evan Mulder is 1356745640. It was assigned to this individual provider in the NPPES registry on October 15, 2014.

Q: What is Evan Mulder'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 Evan Mulder was last updated on February 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Mr. Evan Richard Mulder Dat, Lat, Otc NPPES

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

MR. EVAN RICHARD MULDER DAT, LAT, OTC (NPI 1356745640) is an individual athletic trainer provider in Manitowoc, Wisconsin, licensed in Wisconsin (1554-39) and active in the NPI registry since October 2014. He maintains a secondary practice location in Woodbury.

NPPES Registry Identity

NPI1356745640

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. EVAN RICHARD MULDERCredential: DAT, LAT, OTC

Location Address501 N 10TH STManitowoc, WI 54220

Mailing Address164 N BroadwayGreen Bay, WI 54303-2728 · (920) 490-9046

Phone(920) 682-6376

Fax(920) 652-0115

Sole ProprietorNo

Enumeration DateOctober 15, 2014

Last NPPES UpdateFebruary 11, 20192 updates tracked since enumeration

✔ NPI 1356745640 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

Licenses✔ Licensed in WI · 1554-39✔ Licensed in MN · 1554-39

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.

501 N 10TH ST, Manitowoc, WI 54220

Open in Google Maps ↗