IndividualActive
Angela Puchalla, LAT, ATC
NPI 1114917580 · Athletic Trainer · Green Bay, WI
Provider details
- NPI number
- 1114917580
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- License
- 549-039 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1630 Commanche Ave
Green Bay, WI 54313-5753
Phone: (920) 655-3005
Approximate (ZIP-level) locationGet directions
Mailing address
1445 Carroll Ave
Green Bay, WI 54304-3412
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.