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

Callie Jo Radovich, ATC, LAT, MSES

Individual provider Athletic Trainer · NPI 1831580562

Callie Jo Radovich, ATC, LAT, MSES is an Athletic Trainer in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
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.

See every abbreviation used in this directory →

Practice location Address checks out

12800 N Lake Shore Dr
Mequon, WI 53097-2418
Phone: (262) 243-2056
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1496-39 (WI)

Record details

NPI number1831580562
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT , MSES
Sole proprietorNo
NPI enumeratedFebruary 17, 2015
Last updated in NPPESDecember 28, 2018

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