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

Mark Lydecker

Individual provider Athletic Trainer · NPI 1669010963

Mark Lydecker is an Athletic Trainer in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

8700 W Watertown Plank Rd
Wauwatosa, WI 53226-3595
Phone: (414) 805-8656
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (WI)
Athletic Trainer Taxonomy 2255A2300X (WI)

Record details

NPI number1669010963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2019
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019
Mailing address8700 W Watertown Plank Rd, Wauwatosa, WI 53226-3595

Other providers in Wauwatosa