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

Individual provider Athletic Trainer · NPI 1275147589

Wyatt Ostrum is an Athletic Trainer in North Branch, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5190 Willis Rd
North Branch, MI 48461-8969
Phone: (810) 969-1197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1275147589
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address706 Emmet St, Ypsilanti, MI 48197-2971