JENNIFER RAE WAGNER MA, LAT
NPI 1174582274
Specialist/Technologist - Athletic Trainer in Lancaster, WI

Q: What is Jennifer Wagner's NPI number?

The NPI number for Jennifer Wagner is 1174582274. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Jennifer 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 Jennifer Wagner was last updated on April 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2006

507 S MONROE ST, LANCASTER, WI 53813(608) 723-3236(608) 723-3379 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer Rae Wagner Ma, Lat NPPES

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

JENNIFER RAE WAGNER MA, LAT (NPI 1174582274) is an individual athletic trainer provider in Lancaster, Wisconsin, licensed in Wisconsin (1002-39) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1174582274

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameJENNIFER RAE WAGNERCredential: MA, LAT

Location Address507 S MONROE STLancaster, WI 53813-2054

Mailing Address507 S Monroe StLancaster, WI 53813-2054 · (608) 723-3236 · Fax (608) 723-3379

Phone(608) 723-3236

Fax(608) 723-3379

Sole ProprietorYes

Enumeration DateMarch 20, 2006

Last NPPES UpdateApril 16, 2014

✔ NPI 1174582274 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 · 1002-39

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.

507 S MONROE ST, Lancaster, WI 53813

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