Individual
MEGAN WASIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, CES
Contact information
Practice address
3633 FOX HEATHER DR, LAS VEGAS, NV 89129-7034
(702) 235-2363
Mailing address
3633 FOX HEATHER DR, LAS VEGAS, NV 89129-7034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506420
NV
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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