Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JESSE T WYLIE, ATC
ActiveMR. JESSE T WYLIE, ATC is a Athletic Trainer healthcare provider located in MERIDEN, Connecticut. NPI 1396862108 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MERIDEN, CT
Registration Details
- NPI Number
- 1396862108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2007 (19.356158837126 yrs)
- Last Updated
- Mar 10, 2015
- License
-
000119 (CT)
Practice Information
- Address
-
816 BROAD STSUITE 17MERIDEN, CT, 064504350Browse CT providers · Browse ZIP 06450
- Phone
- 2032381334
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MERIDEN, CT
| Name | Credential | NPI |
|---|---|---|
| MR. JARRETT CHRISTOPHER ZUBE | ATC | 1518084474 |
| SARAH PHILLIPS ANDERSON | A.T.C., P.T.A. | 1184842502 |
| KYLE S ZIMMERMAN | ATC | 1215157193 |
| JOHN JUNIET | A.T.C., L.A.T. | 1710411236 |
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.