IndividualActive
Adrienne Lewis, MS, LAT, ATC
NPI 1679256937 · Athletic Trainer · Green Bay, WI
Provider details
- NPI number
- 1679256937
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 3115-39 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1901 S Oneida St
Green Bay, WI 54304-4537
Phone: (920) 405-1241
Approximate (ZIP-level) locationGet directions
Mailing address
W3173 Cornell Ct
Appleton, WI 54915
Additional practice locations (1)
- 1160 Kepler DrGreen Bay, WI 54311-8321Phone: (920) 268-5292
Registry dates
- Enumerated
- 2023-08-11
- Last updated
- 2023-08-11
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.