Individual provider · Type 1 NPI

Kristin Leeann Wilson, ATC, LAT

Athletic Trainer · Fort Drum, NY

NPI number 1336652080 Active

Practice location

10529 S Riva Ridge Loop
Fort Drum, NY 13602

Call (325) 650-6489 Map

Fax (325) 650-6489

Mailing address

99068 Mountain View Dr Unit A
Fort Drum, NY 13603-3612

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X6857 (TX)
Athletic Trainer Primary 2255A2300X004899 (NY)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1336652080

Kristin Leeann Wilson, ATC, LAT's National Provider Identifier is 1336652080, issued on Nov 15, 2017. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Fort Drum, NY. The record was last updated on Dec 22, 2025.