NPI 1063806172

Suzanna Wymore

Practitioner Athletic Trainer Waconia, MN

Practice location

Address: 1644 Seashell Ln, Waconia, MN 55387-1054
Phone: (952) 452-6519

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Minnesota →

Registry record

NPI: 1063806172
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2015
Record last updated: 26 Mar 2015

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.