NPI 1114461555

Crystin Wilson

Practitioner Student in an Organized Health Care Education/Training Program Fayette, MO

Practice location

Address: 411 Central Methodist Sq, Fayette, MO 65248-1104
Phone: (816) 500-6273
Mailing address: 403 S Sunrise Dr, Raymore, MO 64083-9292

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Missouri →

Athletic Trainer

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

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Registry record

NPI: 1114461555
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2016
Record last updated: 4 Dec 2016

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.