Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Wyatt Blue, MS, LAT, ATC, CSCS

Individual provider Contractor · NPI 1346583754

Mr. Wyatt Blue, MS, LAT, ATC, CSCS is a Contractor in Cardiff by the Sea, California. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1732 Mackinnon Ave
Cardiff by the Sea, CA 92007-1605
Phone: (603) 812-6913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 0506246 (NV)

Record details

NPI number1346583754
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC , CSCS
Sole proprietorYes
NPI enumeratedApril 3, 2013
Last updated in NPPESJanuary 16, 2014