Sean Ronald Wilson, ATC
Specialist/Technologist, Athletic Trainer in Winchester, KY. Individual provider (NPI-1).
NPI number1760637367
StatusActive
Last updated in NPPESNov 24, 2008
Details
- NPI
- 1760637367
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sean Ronald Wilson
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2008
- Last updated
- Nov 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
160 Pedro WayWinchester, KY 40391
Phone 859-745-2152
Mailing address
138 Sunset HeightsWinchester, KY 40391
Phone 859-200-6183
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