Wilson, Michael Tyler

Wilson, Michael Tyler is an individual health care provider with primary practice located at 411 Central Methodist Sq , Fayette MO 65248-1104. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wilson, Michael Tyler can be contacted via phone (636) 577-5062.

Contact Information

Primary practice address
411 Central Methodist Sq Fayette MO 65248-1104
Phone: (636) 577-5062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2016023484 Missouri

Profile Details

NPI number 1053864306
LBN Legal business name Wilson, Michael Tyler
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2016
Last updated Aug 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers