Individual provider · Type 1 NPI

Lucas Jacob Wagoner

Athletic Trainer · Columbia, SC

NPI number 1679244263 Active

Practice location

1300 Wheat Street
Columbia, SC 29208-0001

Call (704) 743-6122 Map

Mailing address

3932 Rimer Rd
Concord, NC 28025-7375

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1679244263

Lucas Jacob Wagoner's National Provider Identifier is 1679244263, issued on Sep 23, 2021. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Columbia, SC. The record was last updated on May 20, 2023.