NPI 1659331239

Clayton Matthew Wilson, ATCOTC

Practitioner Athletic Trainer Casper, WY

Practice location

Address: 4140 Centennial Hills Blvd, Casper, WY 82609-3265
Phone: (307) 265-7205
Fax: (307) 235-6262

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 087 (WY)

Other Specialist/Technologist providers in Wyoming →

Orthopedic Assistant

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZX2200X

Other Specialist/Technologist, Other providers in Wyoming →

Registry record

NPI: 1659331239
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2006
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.