Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krystel Dawn Otto, MS, ATC, LAT

Individual provider Athletic Trainer · NPI 1598884140

Krystel Dawn Otto, MS, ATC, LAT is an Athletic Trainer in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

3509 Dewey St
Manitowoc, WI 54220-5813
Phone: (920) 686-5731
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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 883039 (WI)

Record details

NPI number1598884140
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC , LAT
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

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