NPI 1114294949

Mary Alexander Wyatt, ATC

Practitioner Athletic Trainer Little Rock, AR

Practice location

Address: 600 S McKinley St, Little Rock, AR 72205-5202
Phone: (501) 804-5102
Mailing address: 1708 N Jackson St, Little Rock, AR 72207-5448

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 010702100 (AR)

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1114294949
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2011
Record last updated: 22 Nov 2011

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.