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Contact Information

PAIGE M WILSON, MS, ATC, LAT
3014 W WILLIAM CANNON DRIVE
#1337
AUSTIN, TX78745
 Phone: 720-999-4766
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for PAIGE M WILSON · (Female)

NPI # 1912372590
Status Active
Credentials MS, ATC, LAT
Entity Individual
Enumeration date 12/07/2015
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AT6745
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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