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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY WILSON-GUSTAFSON, MA, LAT, ATC

Active Sole Proprietor

KELLY 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 DR
GARDNERVILLE, NV, 894105892
Browse 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.