Individual
WYATT SAMUEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 SE PRAIRIE PARK LN, WAUKEE, IA 50263-8412
(515) 393-7347
Mailing address
670 SE PRAIRIE PARK LN, WAUKEE, IA 50263-8412
(515) 393-7347
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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