Dylan Wiedeman, ATC, LAT
Dylan Wiedeman, ATC, LAT is an Athletic Trainer in Saint Augustine, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
What do these letters mean?
Practice location Address checks out
2024 E Clovelly LnSaint Augustine, FL 32092-1093
Phone: (904) 495-4485
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AL 3846 (FL) |
|---|
Record details
| NPI number | 1699182584 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATC , LAT |
| Sole proprietor | No |
| NPI enumerated | July 13, 2014 |
| Last updated in NPPES | July 13, 2014 |
| Mailing address | 2024 E Clovelly Ln, Saint Augustine, FL 32092-1093 |
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