Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. REBECCA ANNE WILDERMUTH, MS ATC CSCS
ActiveMS. REBECCA ANNE WILDERMUTH, MS ATC CSCS is a Athletic Trainer healthcare provider located in GIBSON CITY, Illinois. NPI 1013050046 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GIBSON CITY, IL
Registration Details
- NPI Number
- 1013050046
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2007 (19.469715387845 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
10 DOCTORS PARKGIBSON CITY, IL, 60936Browse IL providers · Browse ZIP 60936
- Phone
- 2177842650
- Fax
- 2177848023
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GIBSON CITY, IL
| Name | Credential | NPI |
|---|---|---|
| MR. CHAD ERIC VAUGHN | ATC | 1780675660 |
| MR. KENNETH E MEISNER | ATC | 1740262344 |
| MR. MARCO S BOSCOLO | ATC | 1699805481 |
| TYLER BRUCKER | A.T.C. | 1104008333 |
| MALCOLM TAYLOR | ATC | 1023747094 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.