MR. Jesse T Wylie, ATC
NPI #1396862108 in Meriden, Connecticut
Provider Information
- NPI Number
- 1396862108
- Entity Type
- Individual
- Name
- MR. Jesse T Wylie, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 25, 2007
- Last Updated
- Mar 10, 2015
Practice Location
- Address
- 816 BROAD ST
- Address 2
- SUITE 17
- City
- Meriden
- State
- Connecticut
- ZIP Code
- 06450-4350
- Phone
- (203) 238-1334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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