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

Jeffrey John Wilson, AT/L

Individual provider Athletic Trainer · NPI 1962955435

Jeffrey John Wilson, AT/L is an Athletic Trainer in Novi, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

24062 Taft Rd
Novi, MI 48375-3022
Phone: (408) 806-2583
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 542199 (MI)

Record details

NPI number1962955435
Entity typeIndividual (Type 1)
GenderMale
Credentials AT/L
Sole proprietorYes
NPI enumeratedAugust 1, 2016
Last updated in NPPESAugust 1, 2016

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