Jennifer Rae Wagner, MA, LAT

NPI #1174582274 in Lancaster, Wisconsin

Provider Information

NPI Number
1174582274
Entity Type
Individual
Name
Jennifer Rae Wagner, MA, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MA, LAT
Enumeration Date
Mar 20, 2006
Last Updated
Apr 16, 2014

Practice Location

Address
507 S MONROE ST
ZIP Code
53813-2054
Phone
(608) 723-3236

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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