Larry C Wiseman, A.T.,C.
NPI #1821018052 in Riverton, Utah
Provider Information
- NPI Number
- 1821018052
- Entity Type
- Individual
- Name
- Larry C Wiseman, A.T.,C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.,C.
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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