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Kristofer Vander Wilt, B.S., ATC, LAT
NPI 1174997506 · on the registry since 2015
Practice
- Address
- 1500 Greenland Dr
Murfreesboro, TN 37132 - Phone
- (850) 499-1913
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-23
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 Tennessee