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

ZANE T WILDERMUTH, ATC

Active

ZANE T WILDERMUTH, ATC is a Athletic Trainer healthcare provider located in JACKSON CENTER, Ohio. NPI 1447761044 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · JACKSON CENTER, OH

Registration Details

NPI Number
1447761044
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2017 (8.7819821249529 yrs)
Last Updated
Aug 22, 2022
License
003902 (OH)

Practice Information

Address
1001 W PIKE ST
JACKSON CENTER, OH, 453346066
Browse OH providers · Browse ZIP 45334
Phone
9375966111
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in JACKSON CENTER, OH

Name Credential NPI
KIERAN P YARKOSKY 1457210809
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.