Individual
KENT WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1211 N 16TH AVE, YAKIMA, WA 98902-1347
(509) 454-8888
Mailing address
205 S 81ST AVE APT 11, YAKIMA, WA 98908-4136
(509) 388-5262
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160428436
WA
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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