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

Monica Ann Wagner, LAT

Individual provider Athletic Trainer · NPI 1366438335

Monica Ann Wagner, LAT is an Athletic Trainer in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2005
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1630 Commanche Ave
Green Bay, WI 54313-5753
Phone: (920) 430-4750
Fax: (920) 430-4746
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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 345039 (WI)

Record details

NPI number1366438335
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT
Sole proprietorYes
NPI enumeratedSeptember 23, 2005
Last updated in NPPESJuly 8, 2007

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