LISA WILDER ATC
NPI 1902866502
Specialist/Technologist - Athletic Trainer in Lafayette, IN

Q: What is Lisa Wilder's NPI number?

The NPI number for Lisa Wilder is 1902866502. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Lisa Wilder'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 Lisa Wilder was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 27, 2006

2601 FERRY ST, LAFAYETTE, IN 47904(765) 448-8000(765) 448-8335 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Wilder Atc NPPES

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

LISA WILDER ATC (NPI 1902866502) is an individual athletic trainer provider in Lafayette, Indiana, licensed in Indiana (36000397A) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1902866502

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameLISA WILDERCredential: ATC

Location Address2601 FERRY STLafayette, IN 47904-3061

Mailing AddressPo Box 5545Lafayette, IN 47903-5545 · (765) 448-8000 · Fax (765) 448-8335

Phone(765) 448-8000

Fax(765) 448-8335

Sole ProprietorNo

Enumeration DateMarch 27, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1902866502 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 IN · 36000397A

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.

2601 FERRY ST, Lafayette, IN 47904

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Other Identifiers 2

MedicaidNE18586065IN

Other000000188968IN · Anthem Pin Number

Other Providers at the Same Location NPPES 18

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

REBEKAH MONTGOMERY ATC

Specialist/Technologist (Athletic Trainer)