MR. Jeremy Steven Wiley, ATC

NPI #1649331992 in Logan, Utah

Provider Information

NPI Number
1649331992
Entity Type
Individual
Name
MR. Jeremy Steven Wiley, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Dec 12, 2006
Last Updated
Apr 8, 2016

Practice Location

Address
1400 N 500 E
Address 2
SUITE 120
City
Logan
State
Utah
ZIP Code
84341-2455
Phone
(435) 716-2886

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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