Wade Christian Peitersen, LAT

Athletic Trainer · Oshkosh, WI

Individual Active NPI

NPI number 1154476141

Practice location

800 Algoma Blvd
Kolf Sports Center 169l
Oshkosh, WI 54901-3551
Phone
(920) 424-7138
Fax
(920) 424-1068

Open in Google Maps

NPI record

NPI
1154476141
Entity type
Individual (Type 1)
Enumeration date
January 23, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 125-039 WI

About Wade Peitersen

Wade Christian Peitersen, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 800 Algoma Blvd, Kolf Sports Center 169l, Oshkosh, WI 54901-3551. The NPI number 1154476141 was assigned on January 23, 2007 and the record was last updated on July 8, 2007.

Wade Peitersen lists a license in the registry: #125-039 (WI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wade Christian Peitersen, LAT?

The NPI number is 1154476141.

What is the phone number of Wade Peitersen?

The phone number listed for the practice location is (920) 424-7138.

Where is Wade Peitersen located?

800 Algoma Blvd, Kolf Sports Center 169l, Oshkosh, WI 54901-3551.

What is the taxonomy code for Wade Peitersen?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Athletic Trainer providers in Oshkosh

All Athletic Trainer providers in Oshkosh, WI →