NOLAN WAGNER LAT
NPI 1053039016
Specialist/Technologist - Athletic Trainer in Green Bay, WI

Q: What is Nolan Wagner's NPI number?

The NPI number for Nolan Wagner is 1053039016. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Q: What is Nolan Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nolan Wagner was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2022

1970 S RIDGE RD, GREEN BAY, WI 54304(920) 430-4888 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nolan Wagner Lat NPPES

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

NOLAN WAGNER LAT (NPI 1053039016) is an individual athletic trainer provider in Green Bay, Wisconsin, licensed in Wisconsin (2289-39) and active in the NPI registry since August 2022. He maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1053039016

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameNOLAN WAGNERCredential: LAT

Location Address1970 S RIDGE RDGreen Bay, WI 54304-4125

Mailing Address6700 County Road JSturgeon Bay, WI 54235-9336 · (920) 495-3052

Phone(920) 430-4888

Sole ProprietorNo

Enumeration DateAugust 16, 2022

NPPES CertifiedAugust 16, 2022

✔ NPI 1053039016 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 · 2289-39

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.

1970 S RIDGE RD, Green Bay, WI 54304

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