IndividualActive
George Wilson, ATC, LAT
NPI 1629033816 · Athletic Trainer · Monroe, OH
Provider details
- NPI number
- 1629033816
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- License
- AT-362 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
220 Yankee Rd
Monroe, OH 45050-1042
Phone: (513) 360-0689
Approximate (ZIP-level) locationGet directions
Mailing address
178 Deneen Ave
Monroe, OH 45050-1058
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.