SearchMissouriAthletic Trainer

Michael Wilson, ATC, LAT

NPI 1053864306 · on the registry since 2016

Practice

Address
411 Central Methodist Sq
Fayette, MO 65248
Phone
(636) 577-5062
Organisation at this address
Central Methodist Univeristy
Central Methodist University
Central Methodist University
Central Methodist University
Central Methodist University Sports Medicine/Athletic Training
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri