Individual provider · Type 1 NPI

Devyn Jo Wilson, LAT, ATC

Student in an Organized Health Care Education/Training Program · Oxford, OH

NPI number 1568914596 Active

Practice location

144 Yager Stadium
Oxford, OH 45056

Call (567) 208-9807 Map

Mailing address

PO Box 276
Mc Comb, OH 45858-0276

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568914596

Devyn Jo Wilson, LAT, ATC's National Provider Identifier is 1568914596, issued on Oct 25, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oxford, OH. The record was last updated on Oct 25, 2016.