Jade Wanger, MS, LAT, ATC

Athletic Trainer · Groton, MA

Individual Active NPI

NPI number 1801243605

Practice location

282 Farmers Row
Groton, MA 01450-1848
Phone
(978) 448-3363

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NPI record

NPI
1801243605
Entity type
Individual (Type 1)
Enumeration date
May 21, 2016
Last updated
January 16, 2021
Certified
January 16, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 3514 MA
Athletic Trainer 2255A2300X AT002077 GA

Mailing address

77 Thingvalla Ave
Belmont, MA 02478-3668
Phone
(608) 220-0306

About Jade Wanger

Jade Wanger, MS, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 282 Farmers Row, Groton, MA 01450-1848. The NPI number 1801243605 was assigned on May 21, 2016 and the record was last updated on January 16, 2021.

Jade Wanger lists 2 licenses in the registry: #3514 (MA) for Athletic Trainer; #AT002077 (GA) 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 Jade Wanger, MS, LAT, ATC?

The NPI number is 1801243605.

What is the phone number of Jade Wanger?

The phone number listed for the practice location is (978) 448-3363.

Where is Jade Wanger located?

282 Farmers Row, Groton, MA 01450-1848.

What is the taxonomy code for Jade Wanger?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

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.

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