BAILEY KELLY LAT
NPI 1487240719
Specialist/Technologist - Athletic Trainer in Mequon, WI

Q: What is Bailey Kelly's NPI number?

The NPI number for Bailey Kelly is 1487240719. It was assigned to this individual provider in the NPPES registry on December 21, 2020.

Q: What is Bailey Kelly'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 Bailey Kelly was last updated on January 15, 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.

Active since December 21, 2020

12800 N LAKE SHORE DR, MEQUON, WI 53097(262) 243-2147(262) 243-2969 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2021, Dec 21, 2020 (2 updates tracked since 2020).

On this page

About Bailey Kelly Lat NPPES

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

BAILEY KELLY LAT (NPI 1487240719) is an individual athletic trainer provider in Mequon, Wisconsin, licensed in Wisconsin (2393-39) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1487240719

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameBAILEY KELLYCredential: LAT

Location Address12800 N LAKE SHORE DRMequon, WI 53097-2418

Mailing Address1737 Patriot WayMount Pleasant, WI 53406-2730 · (262) 417-6291

Phone(262) 243-2147

Fax(262) 243-2969

Sole ProprietorNo

Enumeration DateDecember 21, 2020

Last NPPES UpdateJanuary 15, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2021

✔ NPI 1487240719 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 · 2393-39

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.

12800 N LAKE SHORE DR, Mequon, WI 53097

Open in Google Maps ↗

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.

EMMA ESSEX

Student in an Organized Health Care Education/Training Program