NPI 1326408279

Sean Russell Wasshausen, MALATATCCSCS

Practitioner Athletic Trainer Afton, WY

Practice location

Address: 445 W Swift Creek Ln, Afton, WY 83110-8004
Phone: (307) 248-0233
Mailing address: 446 Rounds Ave, New Richmond, WI 54017-2041

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 65 (WY)

Other Specialist/Technologist providers in Wyoming →

Registry record

NPI: 1326408279
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2016
Record last updated: 20 Mar 2019

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.