MICHAEL JARED WHEATLEY

LIVINGSTON, AL
NPI1952831943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-06-13
Last Update Date2020-09-08
Business Address
MICHAEL JARED WHEATLEY ATC
UWA STATION 14
LIVINGSTON, AL 35470
Phone number: 270-699-1589
Mailing Address
MICHAEL JARED WHEATLEY ATC
3000 FREDERICA ST
OWENSBORO, KY 42301-6057
Phone number: 270-699-1589
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