IndividualActive
Larry Wiseman, A.T.,C.
NPI 1821018052 · Athletic Trainer · Riverton, UT
Provider details
- NPI number
- 1821018052
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- A.T.,C.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1738 W 12600 S
Riverton, UT 84065-7025
Phone: (801) 243-7346
Fax: (801) 446-0909
Street-level locationGet directions
Mailing address
1738 W 12600 S
Riverton, UT 84065-7025
Registry dates
- Enumerated
- 2006-07-20
- 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.