IndividualActive
Amanda Borchardt, LAT
NPI 1184022170 · Athletic Trainer · Brown Deer, WI
Provider details
- NPI number
- 1184022170
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT
- Sex
- Female
- Sole proprietor
- No
- License
- 1358 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8060 N 60th St
Brown Deer, WI 53223-3538
Phone: (414) 371-6737
Approximate (ZIP-level) locationGet directions
Mailing address
8060 N 60th St
Brown Deer, WI 53223-3538
Registry dates
- Enumerated
- 2014-12-08
- Last updated
- 2014-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.