Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYLAN WIEDEMAN, ATC,LAT
ActiveDYLAN WIEDEMAN, ATC,LAT is a Athletic Trainer healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1699182584 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SAINT AUGUSTINE, FL
Registration Details
- NPI Number
- 1699182584
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2014 (12.047811108105 yrs)
- Last Updated
- Jul 13, 2014
- License
-
AL 3846 (FL)
Practice Information
- Address
-
2024 E CLOVELLY LNSAINT AUGUSTINE, FL, 320921093Browse FL providers · Browse ZIP 32092
- Phone
- 9044954485
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SAINT AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER ANNE CHRISTIE | ATC,LAT | 1982811287 |
| KIMBERLY DUKE HOPKINS | MS, ATC | 1528275534 |
| ISABELA COLLINS | LAT, ATC | 1992246128 |
| ZACKARY KEEN | — | 1649768003 |
| GORDIE ROGERS | — | 1841764875 |
| ANNA FRANCOIS | — | 1548824287 |
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.