KRYSTEL DAWN OTTO MS,ATC, LAT
NPI 1598884140
Specialist/Technologist - Athletic Trainer in Manitowoc, WI

Q: What is Krystel Otto's NPI number?

The NPI number for Krystel Otto is 1598884140. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Krystel Otto'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 Krystel Otto was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 28, 2007

3509 DEWEY ST, MANITOWOC, WI 54220(920) 686-5731 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Krystel Dawn Otto Ms,atc, Lat NPPES

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

KRYSTEL DAWN OTTO MS,ATC, LAT (NPI 1598884140) is an individual athletic trainer provider in Manitowoc, Wisconsin, licensed in Wisconsin (883039) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1598884140

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameKRYSTEL DAWN OTTOCredential: MS,ATC, LAT

Location Address3509 DEWEY STManitowoc, WI 54220-5813

Mailing Address14104 Roselawn RdValders, WI 54245-9582 · (920) 410-1656

Phone(920) 686-5731

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateFebruary 19, 2020

✔ NPI 1598884140 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 · 883039

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.

3509 DEWEY ST, Manitowoc, WI 54220

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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