Provider Demographics
NPI:1063489300
Name:GAUGER, TROY ROBERT (ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:ROBERT
Last Name:GAUGER
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 WESTOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-2833
Mailing Address - Country:US
Mailing Address - Phone:262-544-9834
Mailing Address - Fax:262-544-9834
Practice Address - Street 1:1244 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-1987
Practice Address - Country:US
Practice Address - Phone:262-687-2685
Practice Address - Fax:262-687-2673
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI267-0392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer