Jade Wanger, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Groton, Massachusetts
1801243605- Practice location
- 282 Farmers Row, Groton, MA 01450-1848
- Phone
- 978-448-3363
- Fax
- —
- Last updated
- January 16, 2021
Jade Wanger is a Specialist/Technologist, Athletic Trainer based in Groton, MA. Jade Wanger practices in Groton, MA and has the professional credentials of MS, LAT, ATC. The NPI Number for Jade Wanger is 1801243605 and holds a License No. AT002077 (GA). The current practice location address for Jade Wanger is 282 Farmers Row, Groton, MA 01450-1848 and can be reached out via phone at 978-448-3363.
Provider Profile Details
- NPI Number
- 1801243605
- Provider Name
- Jade Wanger
- Credential
- MS, LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 282 Farmers Row, Groton, MA 01450-1848
- Phone Number
- 978-448-3363
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 21, 2016
- Last Update Date
- January 16, 2021
- Certification Date
- January 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 282 Farmers Row
Groton, MA 01450-1848 - City
- Groton
- State
- Massachusetts
- Zip
- 01450-1848
- Phone Number
- 978-448-3363
Provider Business Mailing Address Details
- Address
- 77 Thingvalla Ave
Belmont, MA 02478-3668 - City
- Belmont
- State
- MA
- Zip
- 02478-3668
- Phone Number
- 608-220-0306
License Information
- License Number (1)
- AT002077
- License State (1)
- GA
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- 3514
- License State (2)
- MA
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jade Wanger, MS, LAT, ATC?
The NPI number of Jade Wanger, MS, LAT, ATC is 1801243605. It was assigned on May 21, 2016 and is currently active in the NPPES registry.
What is the specialty of Jade Wanger, MS, LAT, ATC?
Jade Wanger, MS, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in GA under license number AT002077.
Where does Jade Wanger, MS, LAT, ATC practice?
The practice location is 282 Farmers Row, Groton, MA 01450-1848. The office can be reached at 978-448-3363 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801243605 directly on the NPPES registry website.