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