Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Lynn Wagner, LAT, ATC

Individual provider Athletic Trainer · NPI 1023673878

Courtney Lynn Wagner, LAT, ATC is an Athletic Trainer in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2105 E Enterprise Ave # 113
Appleton, WI 54913-7862
Phone: (920) 991-2561
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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 1890-39 (WI)

Record details

NPI number1023673878
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESOctober 13, 2024
Certification dateOctober 13, 2024

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