Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Michael Wildman, MAT, ATC

Individual provider Athletic Trainer · NPI 1487155420

Benjamin Michael Wildman, MAT, ATC is an Athletic Trainer in Maplewood, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2018
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

31 Sunnen Dr Apt 345
Maplewood, MO 63143-3828
Phone: (847) 902-8604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2018024534 (MO)

Record details

NPI number1487155420
Entity typeIndividual (Type 1)
GenderMale
Credentials MAT , ATC
Sole proprietorYes
NPI enumeratedFebruary 26, 2018
Last updated in NPPESNovember 2, 2018
Mailing address31 Sunnen Dr Apt 345, Maplewood, MO 63143-3828

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