Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Roberson, MAT, ATC, LAT

Individual provider Athletic Trainer · NPI 1386053163

Amanda Roberson, MAT, ATC, LAT is an Athletic Trainer in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3400 S 103rd St 300
Milwaukee, WI 53227-4163
Phone: (262) 366-3655
Fax: (262) 565-4304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1591-39 (WI)

Record details

NPI number1386053163
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT , ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 6, 2014
Last updated in NPPESAugust 6, 2014

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