Search › North Carolina › Athletic Trainer
Blake Wickerham, LAT, ATC
NPI 1275959876 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3121 Woods Pl
Raleigh, NC 27607 - Phone
- (919) 515-2111
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-07
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 North Carolina