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

Wyatt Sutton

Individual provider Athletic Trainer · NPI 1265189633

Wyatt Sutton is an Athletic Trainer in Ballwin, Missouri. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

13537 Barrett Parkway Dr Ste 105
Ballwin, MO 63021-5896
Phone: (618) 623-1197
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096005457 (IL)

Record details

NPI number1265189633
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2022
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address308 E Airwood Dr, East Alton, IL 62024-1853

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