Individual
LONI LYNN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, ATC
Contact information
Practice address
205 N 11TH AVE, BOZEMAN, MT 59715-3217
(406) 581-5073
Mailing address
305 E JEFFERSON AVE, BELGRADE, MT 59714-4132
(406) 579-1637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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