NPI 1215479050

Marcus Bradley Wyatt, ATC

Practitioner Athletic Trainer Magnolia, AR

Practice location

Address: 100 E University # 8800, Magnolia, AR 71753-2181
Phone: (870) 235-5052

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1215479050
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2016
Record last updated: 10 Nov 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.