IndividualActive
Michael Moline, ATC
NPI 1750426870 · Athletic Trainer · Casper, WY
Provider details
- NPI number
- 1750426870
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 010 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
125 College Dr
Casper, WY 82601-4612
Phone: (307) 268-2259
Approximate (ZIP-level) locationGet directions
Mailing address
2544 Fairdale Ave
Casper, WY 82601-5157
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2011-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.