NPI 1497125348

Matthew Wilfuer, ATCLAT

Practitioner Athletic Trainer Fayette, IA

Practice location

Address: 605 Washington St, Fayette, IA 52142-9206
Phone: (563) 425-5364
Mailing address: E9033 Worm Rd, New London, WI 54961-8463

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 079020 (IA)

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1497125348
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2015
Record last updated: 12 Apr 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.