Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brady Michael Lisec

Individual provider Athletic Trainer · NPI 1437030277

Brady Michael Lisec is an Athletic Trainer in Lake Waukomis, Missouri. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

373 NW North Shore Dr
Lake Waukomis, MO 64151-1455
Phone: (816) 868-1557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1437030277
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESMay 30, 2026
Certification dateMay 30, 2026
Mailing address373 Nw North Shore Dr, Lake Waukomis, MO 64151-1455