MR. FREDERICK WILSON, PT ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1558330886
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | No | 107962 (MO) |
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 00156 (MO) |
Frequently Asked Questions
NPI 1558330886 is the National Provider Identifier for MR. FREDERICK WILSON, PT ATC, a Specialist/Technologist - Athletic Trainer provider located in Independence, MO. This NPI was enumerated on March 17, 2006.
MR. FREDERICK WILSON, PT ATC practices at 18905 E 33RD STREET CT S, Independence, MO 64057.
Quick Facts
- NPI
- 1558330886
- Type
- Individual
- Enumerated
- Mar 17, 2006
- Last Updated
- Sep 11, 2025
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