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

Mr. Gregory James Dejong, LAT

Individual provider Athletic Trainer · NPI 1295883478

Mr. Gregory James Dejong, LAT is an Athletic Trainer in Kaukauna, 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

W1910 Sleepy Hollow Ct
Kaukauna, WI 54130-9429
Phone: (920) 788-4760
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 74-039 (WI)

Record details

NPI number1295883478
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorNo
NPI enumeratedJanuary 6, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressW1910 Sleepy Hollow Ct, Kaukauna, WI 54130-9429

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