Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brock Ryan David Reichardt, ATC, LAT

Individual provider Athletic Trainer · NPI 1831662493

Brock Ryan David Reichardt, ATC, LAT is an Athletic Trainer in Stevens Point, Wisconsin. Licensed in Tennessee and Wisconsin. Registered with an NPI since 2019.

Licensed in
TN, WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

4100 State Highway 66
Stevens Point, WI 54482-8410
Phone: (715) 346-2522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1806 (WI)
Athletic Trainer Taxonomy 2255A2300X · Licence 2189 (TN)

Record details

NPI number1831662493
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJanuary 7, 2019
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

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