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MS. HOLLY D WICKENHAUSER ATC
NPI 1659546422
Specialist/Technologist - Athletic Trainer in Bloomington, IL

Active since April 23, 2008
1111 TRINITY LN, SUITE 111, BLOOMINGTON, IL 61704(309) 663-6461(309) 663-5711 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Holly D Wickenhauser Atc NPPES

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

MS. HOLLY D WICKENHAUSER ATC (NPI 1659546422) is an individual athletic trainer provider in Bloomington, Illinois, licensed in Illinois (096.001891) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1659546422
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMS. HOLLY D WICKENHAUSERCredential: ATC
Location Address1111 TRINITY LN, SUITE 111Bloomington, IL 61704-8111
Mailing Address1111 Trinity Ln, Suite 111Bloomington, IL 61704-8111 · (309) 663-6461 · Fax (309) 663-5711
Phone(309) 663-6461
Fax(309) 663-5711
Sole ProprietorNo
Enumeration DateApril 23, 2008
Last NPPES UpdateJanuary 4, 2017
✔ NPI 1659546422 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 IL · 096.001891
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.
1111 TRINITY LN, Bloomington, IL 61704
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Other Providers at the Same Location NPPES 19

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

DR. ALISSA RECKER P.T.
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
COURTNEY YAMADA PT, MS
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
MARY A MEISMER OTR/L, CHT (NBCOT)
Occupational Therapist (Hand)
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
MR. CHARLES LEWIS ROGERS OPA-C
Specialist/Technologist, Other (Surgical Assistant)
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
JONATHAN AUBRY
Family Medicine (Sports Medicine)
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 661-6414
TYLER JORDAN NEAL D.O.
Orthopaedic Surgery
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 608-5100
MR. BRYAN D JASKER PT
Physical Therapist
1111 TRINITY LN, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
NICHOLAS CHRISTOPHER BURKE PT
Physical Therapist
1111 TRINITY LN
BLOOMINGTON, IL 61704
McLean County (309) 663-6461

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 Holly Wickenhauser's NPI number?

The NPI number for Holly Wickenhauser is 1659546422. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Holly Wickenhauser located?

Holly Wickenhauser practices at 1111 Trinity Ln Suite 111, Bloomington, IL 61704. The listed phone number is (309) 663-6461.

What is Holly Wickenhauser'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 Holly Wickenhauser was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.