Andrew Louis Wilkinson, MS, ATC
Specialist/Technologist, Athletic Trainer in Springfield, MO. Individual provider (NPI-1).
NPI number1003146325
StatusActive
Last updated in NPPESJan 8, 2010
Details
- NPI
- 1003146325
- Entity type
- Individual (NPI-1)
- Name
- Mr. Andrew Louis Wilkinson
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2010
- Last updated
- Jan 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2008017180 | MO | Yes |
Practice location
2135 S Fremont AveSpringfield, MO 65804-2239
Phone 417-820-7990
Mailing address
2135 S Fremont AveSpringfield, MO 65804-2239
Phone 417-820-7990
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