Provider Demographics
NPI:1033539812
Name:LENZ, KALI (MS, ATC, LAT)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:LENZ
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:KALI
Other - Middle Name:
Other - Last Name:BERKSETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ATC, LAT
Mailing Address - Street 1:690 KENNEDY ST
Mailing Address - Street 2:
Mailing Address - City:MAUSTON
Mailing Address - State:WI
Mailing Address - Zip Code:53948-1404
Mailing Address - Country:US
Mailing Address - Phone:608-847-1441
Mailing Address - Fax:
Practice Address - Street 1:690 KENNEDY ST
Practice Address - Street 2:
Practice Address - City:MAUSTON
Practice Address - State:WI
Practice Address - Zip Code:53948-1404
Practice Address - Country:US
Practice Address - Phone:608-847-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1132-392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer