Individual
THOMAS WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
715 BIRCH ST APT A1, HONOLULU, HI 96814-2925
(757) 574-2244
Mailing address
715 BIRCH ST APT A1, HONOLULU, HI 96814-2925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
63
HI
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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