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

Ty Wasmuth

Individual provider Athletic Trainer · NPI 1306228341

Ty Wasmuth is an Athletic Trainer in Brillion, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015

Practice location Address checks out

24138 Blue Heron Dr
Brillion, WI 54110-9316
Phone: (920) 901-7843
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence W2538059201008 (WI)

Record details

NPI number1306228341
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2015
Last updated in NPPESJune 26, 2015
Mailing address24138 Blue Heron Dr, Brillion, WI 54110-9316

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