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MICHAEL TYLER WILSON ATC, LAT
NPI 1053864306
Specialist/Technologist - Athletic Trainer in Fayette, MO

Active since August 03, 2016
411 CENTRAL METHODIST SQ, FAYETTE, MO 65248(636) 577-5062 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Tyler Wilson Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL TYLER WILSON ATC, LAT (NPI 1053864306) is an individual athletic trainer provider in Fayette, Missouri, licensed in Missouri (2016023484) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1053864306
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMICHAEL TYLER WILSONCredential: ATC, LAT
Location Address411 CENTRAL METHODIST SQFayette, MO 65248-1104
Mailing Address411 Central Methodist SqFayette, MO 65248-1104 · (636) 577-5062
Phone(636) 577-5062
Sole ProprietorNo
Enumeration DateAugust 3, 2016
✔ NPI 1053864306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MO · 2016023484
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
411 CENTRAL METHODIST SQ, Fayette, MO 65248
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLIE MOORE
Student in an Organized Health Care Education/Training Program
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248
Howard County (816) 284-2967
ALANNA DENNISON MED, LAT, ATC
Specialist/Technologist (Athletic Trainer)
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248
Howard County (417) 761-3158
BRAY DEMPSEY
Student in an Organized Health Care Education/Training Program
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248
Howard County (816) 914-9696
CENTRAL METHODIST UNIVERISTY
Clinic/Center (Rehabilitation)
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248
Howard County (308) 631-5364
MEGAN A STEWART
Specialist/Technologist (Athletic Trainer)
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248
Howard County (877) 268-1854
ZACH G HENTGES
Student in an Organized Health Care Education/Training Program
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248
Howard County (660) 248-3391
MISS CRYSTIN WILSON
Student in an Organized Health Care Education/Training Program
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248
Howard County (816) 500-6273
MISS HAILEE ANN RICKER
Student in an Organized Health Care Education/Training Program
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248
Howard County (877) 268-1854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1053864306. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Michael Wilson located?

Michael Wilson practices at 411 Central Methodist Sq, Fayette, MO 65248. The listed phone number is (636) 577-5062.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.