Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ms. Holly D Wickenhauser, ATC
Athletic Trainer in Bloomington, IL · enumerated 2008.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1659546422
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Registry record
Entity type Individual (Type 1)
Name Ms. Holly D Wickenhauser
Credential ATC
Sex Female
Practice address 1111 Trinity Ln, Suite 111, Bloomington, IL, 61704
Phone (309) 663-6461
Fax (309) 663-5711
Enumeration date Apr 23, 2008
Last updated in NPPES Jan 4, 2017
Taxonomy & licenses
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 096.001891 (IL) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Holly Wickenhauser?
Holly Wickenhauser is registered in NPPES with the primary taxonomy of Athletic Trainer. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Krista Sheppard Physical Therapist · Bloomington, IL NPI 1669471769 Bryan Jasker Physical Therapist · Bloomington, IL NPI 1447208806 Courtney Yamada Physical Therapist · Bloomington, IL NPI 1174531362 Mary Meismer Hand Occupational Therapist · Bloomington, IL NPI 1174531370 Charles Rogers Surgical Assistant · Bloomington, IL NPI 1235258260 Kimberly Keller Occupational Therapist · Bloomington, IL NPI 1720279409 Alex Frantz Physician Assistant · Bloomington, IL NPI 1801224605 Tyler Neal Orthopaedic Surgery Physician · Bloomington, IL NPI 1336555994
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-04.