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

Kristin Leeann Wilson, ATC, LAT

Individual provider Athletic Trainer · NPI 1336652080

Kristin Leeann Wilson, ATC, LAT is an Athletic Trainer in Fort Drum, New York. Licensed in New York and Texas. Registered with an NPI since 2017.

Licensed in
NY, TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

10529 S Riva Ridge Loop
Fort Drum, NY 13602
Phone: (325) 650-6489
Fax: (325) 650-6489
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 004899 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 6857 (TX)

Record details

NPI number1336652080
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedNovember 15, 2017
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

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