NPI 1306325972

Colleen Joyce Wildenhain, MSATC

Practitioner Athletic Trainer Reston, VA

Practice location

Address: 1850 Town Center Pkwy STE 400, Reston, VA 20190-3219
Phone: (703) 810-5202
Mailing address: 1898 Winterport Cluster, Reston, VA 20191-3624

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126001682 (VA)

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1306325972
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2018
Record last updated: 14 Aug 2018

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.