Katherine Liesener, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

681-039 Issued in WI

Practice address

12800 N Lake Shore Dr
Mequon, WI 53097-2418

Phone

(262) 243-4338

NPI assigned

May 8, 2015

Last updated

May 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1669850822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 N LAKE SHORE DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 N LAKE SHORE DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972418",
            "telephone_number": "262-243-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIESENER",
        "first_name": "KATHERINE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "681-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lickteig Chiropractic Clinic,S.C.
• Karl Albert Lickteig, D.C.
• John Liddell, PHYSICAL THERAPIST
• Stephanie Lieberman
• Brittni Liebhauser, MSW, LCSW
• Life Adventure Therapies, LLC
• Morgan Lind
• Zoe A Lindstrom, LCSW
• Linton Therapy LLC
• Allan Lipkowitz, MD

• Athletic Trainer in Mequon, WI
• Providers in Mequon, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.