JACLYN SULLIVAN LAT
NPI 1992423867
Specialist/Technologist - Athletic Trainer in Green Bay, WI

Q: What is Jaclyn Sullivan's NPI number?

The NPI number for Jaclyn Sullivan is 1992423867. It was assigned to this individual provider in the NPPES registry on August 17, 2022.

Q: What is Jaclyn Sullivan'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 Jaclyn Sullivan was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 17, 2022

744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3500 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jaclyn Sullivan Lat NPPES

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

JACLYN SULLIVAN LAT (NPI 1992423867) is an individual athletic trainer provider in Green Bay, Wisconsin, licensed in Wisconsin (244739) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1992423867

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameJACLYN SULLIVANCredential: LAT

Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505

Mailing Address2319 S Horizon DrAppleton, WI 54915-5847 · (920) 609-3314

Phone(920) 433-3500

Sole ProprietorNo

Enumeration DateAugust 17, 2022

NPPES CertifiedAugust 17, 2022

✔ NPI 1992423867 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 · 244739

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.

744 S WEBSTER AVE, Green Bay, WI 54301

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