IndividualActive
Krisjan Henderson, MAT, LAT, ATC
NPI 1831880152 · Athletic Trainer · Waterloo, IA
Provider details
- NPI number
- 1831880152
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MAT, LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 133126 (IA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
604 Ansborough Ave
Waterloo, IA 50701-5842
Phone: (319) 433-0130
Street-level locationGet directions
Mailing address
1106 Kent Cir Apt 7
Waterloo, IA 50701-4479
Registry dates
- Enumerated
- 2023-05-17
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.