Jennifer Wagner, MA, LAT

NPI 1174582274 · on the registry since 2006 · sole proprietor

Practice

Address: 507 S Monroe St
Lancaster, WI 53813
Phone: (608) 723-3236
Fax: (608) 723-3379
Organisation at this address: Grant Regional Family Practice
Grant Regional Health Center, Inc
Grant Regional Health Center, Inc
Grant Regional Health Center, Inc.
Grant Regional Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin