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

Maisie Boehm, LAT

Individual provider Athletic Trainer · NPI 1851928329

Maisie Boehm, LAT is an Athletic Trainer in Lake Geneva, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
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

700 Geneva Pkwy N
Lake Geneva, WI 53147-4594
Phone: (262) 249-3529
Fax: (262) 249-7955
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1851928329
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESMarch 25, 2020
Certification dateMarch 25, 2020

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