NPI 1144639931

Justin Wierenga, ATC

Practitioner Athletic Trainer Washington, DC

Practice location

Address: 620 Michigan Ave NE, Washington, DC 20064-0001
Phone: (202) 319-6049
Fax: (202) 319-4752
Mailing address: 243 14th St NE Apartment 2, Washington, DC 20002-6413

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in District of Columbia →

Registry record

NPI: 1144639931
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2014
Record last updated: 6 Aug 2014

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.