Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDERICK CHARLES WILSON, PT ATC
ActiveMR. FREDERICK CHARLES WILSON, PT ATC is a Athletic Trainer healthcare provider located in INDEPENDENCE, Missouri. NPI 1558330886 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · INDEPENDENCE, MO
Registration Details
- NPI Number
- 1558330886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2006 (20.229106566235 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
107962 (MO)00156 (MO)
Practice Information
- Address
-
18905 E 33RD STREET CT SINDEPENDENCE, MO, 640573336Browse MO providers · Browse ZIP 64057
- Phone
- 8165890100
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in INDEPENDENCE, MO
| Name | Credential | NPI |
|---|---|---|
| MORGAN J MILLER | MS, ATC, LAT | 1760460455 |
| DAWNA LYNN GILBERT | ATC | 1427003656 |
| ALENA MCLOUGHLIN | — | 1043601230 |
| HAROLD EPPS | ATC | 1437543592 |
| TYLER STOLTMAN | ACT/LAT | 1144605098 |
| MRS. AMANDA EVELYN PAYNE | ATC/L | 1104378587 |
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.