Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Lynn Kellerhuis, MED, LAT, ATC

Individual provider Athletic Trainer · NPI 1578960712

Jennifer Lynn Kellerhuis, MED, LAT, ATC is an Athletic Trainer in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2014
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4401 Whitetail Ln
Madison, WI 53704-8101
Phone: (608) 669-8242
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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 39-1618 (WI)

Record details

NPI number1578960712
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LAT , ATC
Sole proprietorYes
NPI enumeratedDecember 3, 2014
Last updated in NPPESDecember 3, 2014

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