Wyatt Sutton

Athletic Trainer · Ballwin, MO

Individual Active NPI

NPI number 1265189633

Practice location

13537 Barrett Parkway Dr Ste 105
Ballwin, MO 63021-5896
Phone
(618) 623-1197

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NPI record

NPI
1265189633
Entity type
Individual (Type 1)
Enumeration date
March 7, 2022
Last updated
March 7, 2022
Certified
March 7, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096005457 IL

Mailing address

308 E Airwood Dr
East Alton, IL 62024-1853

About Wyatt Sutton

Wyatt Sutton is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 13537 Barrett Parkway Dr Ste 105, Ballwin, MO 63021-5896. The NPI number 1265189633 was assigned on March 7, 2022 and the record was last updated on March 7, 2022.

Wyatt Sutton lists a license in the registry: #096005457 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wyatt Sutton?

The NPI number is 1265189633.

What is the phone number of Wyatt Sutton?

The phone number listed for the practice location is (618) 623-1197.

Where is Wyatt Sutton located?

13537 Barrett Parkway Dr Ste 105, Ballwin, MO 63021-5896.

What is the taxonomy code for Wyatt Sutton?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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