Elizabeth Graham Wyatt, ATC, LAT
Specialist/Technologist, Athletic Trainer in Auburn, AL. Individual provider (NPI-1).
NPI number1013442003
StatusActive
Last updated in NPPESApr 27, 2017
Details
- NPI
- 1013442003
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Graham Wyatt
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2017
- Last updated
- Apr 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1797 | AL | Yes |
Practice location
1121 McKinley AveAuburn, AL 36830-5651
Phone 773-318-0132
Mailing address
1121 McKinley AveAuburn, AL 36830-5651
Phone 773-318-0132
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