Individual
EVAN TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
100 GRANT ST, DE PERE, WI 54115-2002
(708) 710-7696
Mailing address
100 GRANT ST, DE PERE, WI 54115-2002
(708) 710-7696
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2032-39
WI
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/20/2026
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