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

Ellen M Wanta, LAT

Individual provider Athletic Trainer · NPI 1982751376

Ellen M Wanta, LAT is an Athletic Trainer in Sussex, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

N63 W23075 Hwy 74
Sussex, WI 53089
Phone: (414) 566-4582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 69-039 (WI)

Record details

NPI number1982751376
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007

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