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

Julianna Amy Wida, BCTMB, BS

Individual provider Athletic Trainer · NPI 1992481535

Julianna Amy Wida, BCTMB, BS is an Athletic Trainer in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

3505 Camino Del Rio S Ste 100
San Diego, CA 92108-4015
Phone: (619) 246-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 613930-12 (CA)
Athletic Trainer Taxonomy 2255A2300X (CA)

Record details

NPI number1992481535
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCTMB , BS
Sole proprietorYes
NPI enumeratedJune 27, 2023
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

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