Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krisjan Mikkel Henderson, MAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1831880152

Krisjan Mikkel Henderson, MAT, LAT, ATC is an Athletic Trainer in Waterloo, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2023
What do these letters mean?
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

604 Ansborough Ave
Waterloo, IA 50701-5842
Phone: (319) 433-0130
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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 133126 (IA)

Record details

NPI number1831880152
Entity typeIndividual (Type 1)
GenderMale
Credentials MAT , LAT , ATC
Sole proprietorYes
NPI enumeratedMay 17, 2023
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

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