Zachary Wilder
Zachary Wilder is an Athletic Trainer in Canton, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2018.
- Licensed in
- IL, MO
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
1340 S Avenue BCanton, IL 61520-3410
Phone: (309) 224-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Chiropractor (primary) | Taxonomy 111N00000X · Licence 038.013819 (IL) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 2018037623 (MO) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1346738762 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 1, 2018 |
| Last updated in NPPES | May 6, 2022 |
| Certification date | May 6, 2022 |
| Mailing address | 260 E Army Trail Rd Ste D, Bartlett, IL 60103-3005 |
Other providers in Canton
-
Mrs. Amanda Sue Kinne, RPH
2071 N Main St, Canton, IL 61520-1032 · (309) 647-8100
-
Derek Schrodt
237 Harvester Rd, Canton, IL 61520-2018 · (309) 338-3306