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Timothy Wells, LAT, ATC. Valid NPI

Individual provider · Athletic Trainer · Fort Wayne, IN

NPI
1235631334
Type
Individual (Type 1)
Primary specialty
Athletic Trainer (Specialist/Technologist)
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
2255A2300X
License number
36002698A (IN)
Sex
Male
Sole proprietor
Yes
Enumerated
2018-03-05
Last updated
2018-03-05
Practice location
3946 Ice Way
Fort Wayne, IN 46808
(201) 661-0666

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