Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanner Patrick Krumwiede, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1063156180

Tanner Patrick Krumwiede, MS, LAT, ATC is an Athletic Trainer in Jerseyville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

800 N State
Jerseyville, IL 62052-6205
Phone: (618) 498-5521
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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 096004524 (IL)

Record details

NPI number1063156180
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorYes
NPI enumeratedApril 25, 2022
Last updated in NPPESApril 25, 2022
Certification dateApril 8, 2022