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

Mr. Evan Richard Mulder, DAT, LAT, OTC

Individual provider Athletic Trainer · NPI 1356745640

Mr. Evan Richard Mulder, DAT, LAT, OTC is an Athletic Trainer in Manitowoc, Wisconsin. Works from 2 locations. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

501 N 10th St
Manitowoc, WI 54220
Phone: (920) 682-6376
Fax: (920) 652-0115
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 155 Radio Dr, Woodbury, MN 55125-2619 — (920) 831-8742

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1554-39 (WI)
Athletic Trainer Taxonomy 2255A2300X · Licence 1554-39 (MN)

Record details

NPI number1356745640
Entity typeIndividual (Type 1)
GenderMale
Credentials DAT , LAT , OTC
Sole proprietorNo
NPI enumeratedOctober 15, 2014
Last updated in NPPESFebruary 11, 2019

Other providers in Manitowoc