Kelly Wilson-Gustafson, MA, LAT, ATC
NPI #1144741471 in Gardnerville, Nevada
Provider Information
- NPI Number
- 1144741471
- Entity Type
- Individual
- Name
- Kelly Wilson-Gustafson, MA, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MA, LAT, ATC
- Enumeration Date
- Jun 27, 2017
- Last Updated
- Jun 27, 2017
Practice Location
- Address
- 1525 SNAFFLE BIT DR
- City
- Gardnerville
- State
- Nevada
- ZIP Code
- 89410-5892
- Phone
- (775) 283-1710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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