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

Mrs. Michelle Whitaker, LAT, PES

Individual provider Athletic Trainer · NPI 1770503039

Mrs. Michelle Whitaker, LAT, PES is an Athletic Trainer in Sussex, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

N63W23075 Main St
Sussex, WI 53089-5303
Phone: (414) 566-4583
Fax: (414) 566-4640
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 481-039 (WI)

Record details

NPI number1770503039
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , PES
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 8, 2007

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