NPI 1083290126
Kayle a Wiseman, CTRS
Practice location
- Address
- 800 N Front St STE 15, Waterloo, NE 68069-2250
- Phone
- (402) 669-3197
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1083290126
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Mar 2021
- Record last updated
- 19 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.