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

Jennifer Rae Wagner, MA, LAT

Individual provider Athletic Trainer · NPI 1174582274

Jennifer Rae Wagner, MA, LAT is an Athletic Trainer in Lancaster, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

507 S Monroe St
Lancaster, WI 53813-2054
Phone: (608) 723-3236
Fax: (608) 723-3379
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1002-39 (WI)

Record details

NPI number1174582274
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LAT
Sole proprietorYes
NPI enumeratedMarch 20, 2006
Last updated in NPPESApril 16, 2014

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