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RAVEN GMACH LAT, ATC
NPI 1619488012
Specialist/Technologist - Athletic Trainer in Oshkosh, WI

Active since October 12, 2017
800 ALGOMA BLVD, OSHKOSH, WI 54901(920) 917-5773 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Oct 12, 2017 (2 updates tracked since 2017).

About Raven Gmach Lat, Atc NPPES

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

RAVEN GMACH LAT, ATC (NPI 1619488012) is an individual athletic trainer provider in Oshkosh, Wisconsin, licensed in Wisconsin (2424-39) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1619488012
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameRAVEN GMACHCredential: LAT, ATC
Location Address800 ALGOMA BLVDOshkosh, WI 54901-3551
Mailing Address800 Algoma BlvdOshkosh, WI 54901-3551 · (920) 917-5773
Phone(920) 917-5773
Sole ProprietorNo
Enumeration DateOctober 12, 2017
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1619488012 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 · 2424-39
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.
800 ALGOMA BLVD, Oshkosh, WI 54901
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Other Identifiers 1

Other2424-39WI · Department Of Safety And Professional Services

Other Providers at the Same Location NPPES 20

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

BETH LUKE
Registered Nurse
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (414) 378-2377
MARIJO EVERS
Nurse Anesthetist, Certified Registered
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1234
MICAH GELANI JOHNSON
Student in an Organized Health Care Education/Training Program
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1234
NICOLE UELMEN
Student in an Organized Health Care Education/Training Program
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1077
MR. WADE CHRISTIAN PEITERSEN LAT
Specialist/Technologist (Athletic Trainer)
800 ALGOMA BLVD, KOLF SPORTS CENTER 169L
OSHKOSH, WI 54901
Winnebago County (920) 424-7138
JOHN J JOHNSEN LAT
Specialist/Technologist (Athletic Trainer)
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-3225
SAVANNAH FRANCIES
Registered Nurse
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1234
SHALYN DANIELLE TREPTOW
Nurse Anesthetist, Certified Registered
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1234

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 Raven Gmach's NPI number?

The NPI number for Raven Gmach is 1619488012. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Where is Raven Gmach located?

Raven Gmach practices at 800 Algoma Blvd, Oshkosh, WI 54901. The listed phone number is (920) 917-5773.

What is Raven Gmach'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 Raven Gmach was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.