Individual
CASEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9040A JACKSON AVE UNIT A202, JOINT BASE LEWIS MCCHORD, WA 98431-1235
(253) 988-4550
Mailing address
S DIVISION ST, FORT LEWIS, WA 98433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161326275
WA
Other
Enumeration date
09/19/2018
Last updated
12/09/2025
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