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

Individual provider Athletic Trainer · NPI 1619488012

Raven Gmach, LAT, ATC is an Athletic Trainer in Oshkosh, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

800 Algoma Blvd
Oshkosh, WI 54901-3551
Phone: (920) 917-5773
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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 2424-39 (WI)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1619488012
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

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