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Michael Tyler Wilson, ATC, LAT

Athletic Trainer in Fayette, MO · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053864306

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Registry record

Entity type Individual (Type 1)
Name Michael Tyler Wilson
Credential ATC, LAT
Sex Male
Practice address 411 Central Methodist Sq, Fayette, MO, 65248
Enumeration date Aug 3, 2016
Last updated in NPPES Aug 3, 2016

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2016023484 (MO) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Michael Wilson?
The National Provider Identifier (NPI) for Michael Wilson is 1053864306, a Type 1 (individual) record in the CMS NPPES registry.
Where does Michael Wilson practice?
The practice location on file with NPPES is in Fayette, MO. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-03.