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

Russell Donald De Lap, ATC

Individual provider Athletic Trainer · NPI 1104969336

Russell Donald De Lap, ATC is an Athletic Trainer in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

12800 N Lake Shore Dr
Mequon, WI 53097-2418
Phone: (262) 243-4323
Fax: (262) 243-2969
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 4039 (WI)

Record details

NPI number1104969336
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 8, 2007

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