NPI 1205202181

Karis Amelia Prusak, ATCLAT

Practitioner Athletic Trainer Sheridan, WY

Practice location

Address: 135 N Gould St, Sheridan, WY 82801-3927
Phone: (307) 674-1634

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 56 (WY)

Other Specialist/Technologist providers in Wyoming →

Registry record

NPI: 1205202181
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2015
Record last updated: 14 Aug 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.