Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY WILSON-GUSTAFSON, MA, LAT, ATC
Active Sole ProprietorKELLY WILSON-GUSTAFSON, MA, LAT, ATC is a Athletic Trainer healthcare provider located in GARDNERVILLE, Nevada. NPI 1144741471 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GARDNERVILLE, NV
Registration Details
- NPI Number
- 1144741471
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2017 (9.1642505381543 yrs)
- Last Updated
- Jun 27, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
1525 SNAFFLE BIT DRGARDNERVILLE, NV, 894105892Browse NV providers · Browse ZIP 89410
- Phone
- 7752831710
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GARDNERVILLE, NV
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINE M WITTORFF | LAT, ATC, PTA | 1336361765 |
| KRISTOPHER TERRIAN | — | 1104582642 |
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.