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COURTNEY LYNN WAGNER LAT, ATC
NPI 1023673878
Specialist/Technologist - Athletic Trainer in Appleton, WI

Active since May 07, 2019
2105 E ENTERPRISE AVE # 113, APPLETON, WI 54913(920) 991-2561 Get Directions Write a Review

NPPES record last updated: October 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 13, 2024, May 7, 2019 (2 updates tracked since 2019).

About Courtney Lynn Wagner Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY LYNN WAGNER LAT, ATC (NPI 1023673878) is an individual athletic trainer provider in Appleton, Wisconsin, licensed in Wisconsin (1890-39) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1023673878
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameCOURTNEY LYNN WAGNERCredential: LAT, ATC
Location Address2105 E ENTERPRISE AVE # 113Appleton, WI 54913-7862
Mailing AddressN7898 Lakeshore DrFond Du Lac, WI 54937-1647 · (920) 517-6961
Phone(920) 991-2561
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateOctober 13, 20242 updates tracked since enumeration
NPPES CertifiedOctober 13, 2024
✔ NPI 1023673878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in WI · 1890-39
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
2105 E ENTERPRISE AVE # 113, Appleton, WI 54913
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFFREY S JETER PT
Physical Therapist
2105 E ENTERPRISE AVE # 113, ADVANCED PHYSICAL THERAPY
APPLETON, WI 54913
Outagamie County (920) 991-2561
ADVANCED PHYSICAL THERAPY & SPORTS MEDICINE SC
Physical Medicine & Rehabilitation
2105 E ENTERPRISE AVE # 113, ADVANCED PHYSICAL THERAPY
APPLETON, WI 54913
Outagamie County (920) 991-2561
MR. ROBERT P WORTH PT
Physical Therapist
2105 E ENTERPRISE AVE # 113, ADVANCED PHYSICAL THERAPY
APPLETON, WI 54913
Outagamie County (920) 991-2561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Wagner's NPI number?

The NPI number for Courtney Wagner is 1023673878. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Courtney Wagner located?

Courtney Wagner practices at 2105 E Enterprise Ave # 113, Appleton, WI 54913. The listed phone number is (920) 991-2561.

What is Courtney Wagner's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Courtney Wagner was last updated on October 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.