Individual provider · Type 1 NPI

Angela Yvonne Puchalla, LAT, ATC

Athletic Trainer · Green Bay, WI

NPI number 1114917580 Active

Practice location

1630 Commanche Ave
Green Bay, WI 54313-5753

Call (920) 655-3005 Map

Mailing address

1445 Carroll Ave
Green Bay, WI 54304-3412

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X549-039 (WI)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1114917580

Angela Yvonne Puchalla, LAT, ATC's National Provider Identifier is 1114917580, issued on Oct 26, 2005. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Green Bay, WI. The record was last updated on Jul 13, 2026.