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

Melissa Ericson, DAT, LAT

Individual provider Athletic Trainer · NPI 1811421837

Melissa Ericson, DAT, LAT is an Athletic Trainer in Milwaukee, Wisconsin. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3365 S 103rd St
Milwaukee, WI 53227-4161
Phone: (262) 604-7515
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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 36002463A (IN)

Record details

NPI number1811421837
Entity typeIndividual (Type 1)
GenderFemale
Credentials DAT , LAT
Sole proprietorNo
NPI enumeratedApril 17, 2017
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

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