NPI 1053973479

Zachary Allen Wisniewski, MATLATATC

Practitioner Athletic Trainer Missoula, MT

Practice location

Address: 32 Campus Dr, Missoula, MT 59812-0003
Phone: (406) 253-0211
Mailing address: 2414 39th St APT 301, Missoula, MT 59803-1171

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Montana →

Registry record

NPI: 1053973479
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2019
Record last updated: 31 Jul 2023

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.