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

Emma Nicole Self, ATC

Individual provider Athletic Trainer · NPI 1558995407

Emma Nicole Self, ATC is an Athletic Trainer in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2001 Alford Park Dr
Kenosha, WI 53140-1994
Phone: (224) 330-8871
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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 2000051930 (IL)

Record details

NPI number1558995407
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedMarch 1, 2020
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

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