IndividualActive
Abigail Leisemann, MS, LAT, ATC
NPI 1205344595 · Athletic Trainer · Milwaukee, WI
Provider details
- NPI number
- 1205344595
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
114 S 79th St
Milwaukee, WI 53214-1413
Phone: (309) 258-9398
Approximate (ZIP-level) locationGet directions
Mailing address
1130 Creekside Dr Unit 202
Oconomowoc, WI 53066-8815
Registry dates
- Enumerated
- 2018-01-20
- Last updated
- 2021-04-08
- Certified
- 2021-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.