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

MICHAEL JOHN WILD, MS, ATC, PES

Active Sole Proprietor

MICHAEL JOHN WILD, MS, ATC, PES is a Athletic Trainer healthcare provider located in AMHERST, New York. NPI 1710390562 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · AMHERST, NY

Registration Details

NPI Number
1710390562
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2014 (12.149908790136 yrs)
Last Updated
Jun 10, 2014
License
7952261 (NY)
Sole Proprietor
Yes

Practice Information

Address
4380 MAIN ST
AMHERST, NY, 142263544
Browse NY providers · Browse ZIP 14226
Phone
7168398581
Fax
7165667858
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in AMHERST, NY

Name Credential NPI
MR. JEFFREY A. SAGE MS, ATC, CSCS, PES 1003959701
MR. ANDREW NORMAN SMITH ATC 1609904796
DIANE NELSON ATC 1376764803
MISS COLLENE LOUISE MERLINO CONIGLIO ATC 1871770958
MR. ADAM DOMROES MS, ATC, OTC, CSCS 1821405465
JAMES FECIO ATC 1184032005
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.