Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HEATHER LYNN WRUCK-WELLS, ATC
Active Sole ProprietorMRS. HEATHER LYNN WRUCK-WELLS, ATC is a Athletic Trainer healthcare provider located in TWENTYNINE PALMS, California. NPI 1053596601 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TWENTYNINE PALMS, CA
Registration Details
- NPI Number
- 1053596601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2008 (18.618957852015 yrs)
- Last Updated
- Nov 8, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
5175 ENCELIA DRTWENTYNINE PALMS, CA, 922771358Browse CA providers · Browse ZIP 92277
- Phone
- 3038815056
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in TWENTYNINE PALMS, CA
| Name | Credential | NPI |
|---|---|---|
| KATELYN MCGONIGLE | ATC | 1669993846 |
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.