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DYLAN WIEDEMAN ATC,LAT
NPI 1699182584
Specialist/Technologist - Athletic Trainer in Saint Augustine, FL

Active since July 13, 2014
2024 E CLOVELLY LN, SAINT AUGUSTINE, FL 32092(904) 495-4485 Get Directions Write a Review

NPPES record last updated: July 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Wiedeman Atc,lat NPPES

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

DYLAN WIEDEMAN ATC,LAT (NPI 1699182584) is an individual athletic trainer provider in Saint Augustine, Florida, licensed in Florida (AL 3846) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1699182584
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameDYLAN WIEDEMANCredential: ATC,LAT
Location Address2024 E CLOVELLY LNSaint Augustine, FL 32092-1093
Mailing Address2024 E Clovelly LnSaint Augustine, FL 32092-1093 · (904) 495-4485
Phone(904) 495-4485
Sole ProprietorNo
Enumeration DateJuly 13, 2014
✔ NPI 1699182584 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 FL · AL 3846
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.
2024 E CLOVELLY LN, Saint Augustine, FL 32092
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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 Dylan Wiedeman's NPI number?

The NPI number for Dylan Wiedeman is 1699182584. It was assigned to this individual provider in the NPPES registry on July 13, 2014.

Where is Dylan Wiedeman located?

Dylan Wiedeman practices at 2024 E Clovelly Ln, Saint Augustine, FL 32092. The listed phone number is (904) 495-4485.

What is Dylan Wiedeman'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 Dylan Wiedeman was last updated on July 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.