MR. Wyatt Carlson

NPI #1801337886 in Rice Lake, Wisconsin

Provider Information

NPI Number
1801337886
Entity Type
Individual
Name
MR. Wyatt Carlson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Mar 10, 2017
Last Updated
Mar 10, 2017

Practice Location

Address
2162 18 1/2 ST
ZIP Code
54868-9503
Phone
(715) 651-3309

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Student in an Organized Health Care Education/Training Program

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