Alicia Burnam Felker, ATC, LAT, CSCS
Individual provider Active NPI Athletic Trainer · Ripon, WI
NPI 1972883668 · NPPES record last updated Aug 25, 2011
Key facts
- NPI
- 1972883668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1202039 (WI)
- Practice address
- 933 Newbury St
Rehab Services
Ripon, WI 54971-1730 - Phone
- (920) 748-9138
- NPI assigned
- Aug 25, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1202039 | WI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1202039 | WI | Yes |
Addresses
Primary practice location
933 Newbury St
Rehab Services
Ripon, WI 54971-1730
Mailing address
933 Newbury St
Rehab Services
Ripon, WI 54971-1730
Phone (920) 748-9138
Other providers in Ripon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.