Larry C Wiseman in Riverton - Athletic Trainer
Larry C Wiseman - NPI 1821018052
Larry C Wiseman is a Athletic Trainer in Riverton, Utah. Larry C Wiseman practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Larry C Wiseman is 1821018052. The last update date is 2007-07-08.
Larry C Wiseman's current location address is 1738 W 12600 S, Riverton, Utah. You can contact this provider via phone number 8012437346 and fax number 8014460909. The mailing address for Larry C Wiseman is 1738 W 12600 S, Riverton, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry C Wiseman |
|---|---|
| Address | 1738 W 12600 S, Riverton, Utah |
| Phone Number | 8012437346 |
| Fax Number | 8014460909 |
| Sole Proprietor | N |
| Credentials | A.T.,C. |
NPI Number Detail
| NPI Number | 1821018052 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1738 W 12600 S |
|---|---|
| City | Riverton |
| State | Utah (UT) |
| Post Code | 840657025 |
| Phone Number | 8012437346 |
| Fax Number | 8014460909 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22 | UT | ATHLETIC TRAINER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larry C Wiseman by the Centers for Medicare & Medicaid Services?
The Larry C Wiseman has been issued the NPI (National Provider Identifier) 1821018052, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Larry C Wiseman is geographically located?
The Larry C Wiseman is physically situated at the following location: 1738 W 12600 S, Riverton, UT, 840657025.
What is Larry C Wiseman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Larry C Wiseman is Athletic Trainer, and the corresponding taxonomy classification code for this specialized field is 2255A2300X.
On what date was the 1821018052 assigned to Larry C Wiseman?
The Larry C Wiseman was issued its 1821018052 on 2006-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Larry C Wiseman's information last updated?
The Larry C Wiseman's information was last updated on 2007-07-08.
NPI Number: 1336142389
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