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

Nouteng Ly, ATC

Individual provider Athletic Trainer · NPI 1700602380

Nouteng Ly, ATC is an Athletic Trainer in Green Bay, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1160 Kepler Dr
Green Bay, WI 54311-8321
Phone: (920) 288-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1700602380
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address2053 Hillside Ln, Green Bay, WI 54302-4053

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