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

Marcus Thoma, LAT

Individual provider Athletic Trainer · NPI 1639721327

Marcus Thoma, LAT is an Athletic Trainer in Pewaukee, Wisconsin. Works from 3 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

2900 Golf Rd
Pewaukee, WI 53072-5449
Phone: (608) 843-2634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1185 Corporate Center Dr Ste 250, Oconomowoc, WI 53066-4888 — (608) 843-2634
  • 601 E College Ave, Waukesha, WI 53186-5598 — (608) 843-2634

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1687-39 (WI)

Record details

NPI number1639721327
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESJuly 12, 2019
Mailing address1633 Aldoro Dr, Waukesha, WI 53188-2227

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