1. Home
  2. Directory
  3. Minnesota
  4. Sebeka
  5. Specialist Technologist
  6. NPI Profile

MADISON JO LAKE
NPI 1407446842
Specialist/Technologist - Athletic Trainer in Sebeka, MN

Active since January 20, 2021
1001 WELLS AVE E, SEBEKA, MN 56477(218) 639-3676 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madison Jo Lake NPPES

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

MADISON JO LAKE (NPI 1407446842) is an individual athletic trainer provider in Sebeka, Minnesota and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1407446842
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMADISON JO LAKE
Location Address1001 WELLS AVE ESebeka, MN 56477-2730
Mailing Address1001 Wells Ave ESebeka, MN 56477-2730 · (218) 639-3676
Phone(218) 639-3676
Sole ProprietorNo
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1407446842 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
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.
1001 WELLS AVE E, Sebeka, MN 56477
Open in Google Maps ↗

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 Madison Lake's NPI number?

The NPI number for Madison Lake is 1407446842. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Madison Lake located?

Madison Lake practices at 1001 Wells Ave E, Sebeka, MN 56477. The listed phone number is (218) 639-3676.

What is Madison Lake'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 Madison Lake was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.