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KRISJAN MIKKEL HENDERSON MAT, LAT, ATC
NPI 1831880152
Specialist/Technologist - Athletic Trainer in Waterloo, IA

Active since May 17, 2023
604 ANSBOROUGH AVE, WATERLOO, IA 50701(319) 433-0130 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, May 17, 2023 (2 updates tracked since 2023).

About Krisjan Mikkel Henderson Mat, Lat, Atc NPPES

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

KRISJAN MIKKEL HENDERSON MAT, LAT, ATC (NPI 1831880152) is an individual athletic trainer provider in Waterloo, Iowa, licensed in Iowa (133126) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1831880152
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameKRISJAN MIKKEL HENDERSONCredential: MAT, LAT, ATC
Location Address604 ANSBOROUGH AVEWaterloo, IA 50701-5842
Mailing Address1106 Kent Cir Apt 7Waterloo, IA 50701-4479 · (515) 829-6540
Phone(319) 433-0130
Sole ProprietorYes
Enumeration DateMay 17, 2023
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1831880152 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 IA · 133126
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.
604 ANSBOROUGH AVE, Waterloo, IA 50701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MADELINE SMITH
Specialist/Technologist (Athletic Trainer)
604 ANSBOROUGH AVE
WATERLOO, IA 50701
Black Hawk County (319) 433-0130

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 Krisjan Henderson's NPI number?

The NPI number for Krisjan Henderson is 1831880152. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Krisjan Henderson located?

Krisjan Henderson practices at 604 Ansborough Ave, Waterloo, IA 50701. The listed phone number is (319) 433-0130.

What is Krisjan Henderson'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 Krisjan Henderson was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.