Individual
JUSTIN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CSCS
Contact information
Practice address
1450 W ALABAMA AVE, RUSTON, LA 71272-2711
(318) 257-4789
Mailing address
1450 W ALABAMA AVE, RUSTON, LA 71272-2711
(318) 257-4789
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000011073
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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