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

Mr. Wade Christian Peitersen, LAT

Individual provider Athletic Trainer · NPI 1154476141

Mr. Wade Christian Peitersen, LAT is an Athletic Trainer in Oshkosh, 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

800 Algoma Blvd Kolf Sports Center 169L
Oshkosh, WI 54901-3551
Phone: (920) 424-7138
Fax: (920) 424-1068
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 125-039 (WI)

Record details

NPI number1154476141
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 8, 2007

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