MR. Lance Wayne Wilke, ATC, LAT, CSCS, PES

NPI #1225235666 in Ingram, Texas

Provider Information

NPI Number
1225235666
Entity Type
Individual
Name
MR. Lance Wayne Wilke, ATC, LAT, CSCS, PES
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT, CSCS, PES
Enumeration Date
Jun 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
101 HILLSIDE DR
City
Ingram
State
Texas
ZIP Code
78025-3126
Phone
(830) 367-2803

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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