Individual provider · Type 1 NPI

Alexis R. Wagner, ATC

Athletic Trainer · Kenosha, WI

NPI number 1023547668 Active

Practice location

7610 Pershing Blvd
Kenosha, WI 53142-4318

Mailing address

1857 E Kenilworth Pl Apt 409
Milwaukee, WI 53202-4713

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XNone listed

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1023547668

Alexis R. Wagner, ATC's National Provider Identifier is 1023547668, issued on Jun 7, 2017. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Kenosha, WI. The record was last updated on Oct 14, 2026.