Individual
MEGAN BAUKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-2056
Mailing address
W164N11540 CASTLE CT, GERMANTOWN, WI 53022-3317
(586) 899-5826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3132-29
WI
Other
Enumeration date
02/17/2022
Last updated
07/23/2023
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