NPI 1033600523

Noah Andrew Wilson, ATC

Practitioner Athletic Trainer Lynchburg, VA

Practice location

Address: 1971 University Bld, Lynchburg, VA 24515-0001
Phone: (615) 712-4432

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126007928 (VA)

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Registry record

NPI: 1033600523
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2018
Record last updated: 6 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.