SearchMissouri2255A2300X

Dylan Wilson, ATC, LAT

NPI 1699341701 · on the registry since 2021

Practice

Address
1622 E 17th Ter
Kansas City, MO 64108
Phone
(816) 281-5468

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-29

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