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

JENNIFER ALISHA WILEMAN, ATC

Active

JENNIFER ALISHA WILEMAN, ATC is a Athletic Trainer healthcare provider located in FRUITDALE, South Dakota. NPI 1164631784 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FRUITDALE, SD

Registration Details

NPI Number
1164631784
Provider Type
Individual
Gender
Female
NPI Issued
May 21, 2007 (19.219084220825 yrs)
Last Updated
Jul 8, 2007
License
0253 (SD)

Practice Information

Address
101 LAKE ST
FRUITDALE, SD, 577174213
Browse SD providers · Browse ZIP 57717
Phone
6058927743
Primary Specialty
Athletic Trainer
2255A2300X
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.