Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN M WANTA, LAT
ActiveELLEN M WANTA, LAT is a Athletic Trainer healthcare provider located in SUSSEX, Wisconsin. NPI 1982751376 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SUSSEX, WI
Registration Details
- NPI Number
- 1982751376
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2007 (19.58336078873 yrs)
- Last Updated
- Jul 8, 2007
- License
-
69-039 (WI)
Practice Information
- Address
-
N63 W23075 HWY 74SUSSEX, WI, 53089Browse WI providers · Browse ZIP 53089
- Phone
- 4145664582
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SUSSEX, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELLE WHITAKER | LAT, PES | 1770503039 |
| NICKEY LOUIS WOLFF | L.A.T. | 1225187610 |
| AMANDA SHOBER | — | 1386012052 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.