NPI 1821018052

Larry C Wiseman, ATC

Practitioner Athletic Trainer Riverton, UT

Practice location

Address: 1738 W 12600 S, Riverton, UT 84065-7025
Phone: (801) 243-7346
Fax: (801) 446-0909

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Utah →

Registry record

NPI: 1821018052
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2006
Record last updated: 8 Jul 2007

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.