NPI 1144434838

Kyle Wiebesiek, ATC

Practitioner Athletic Trainer Sioux Falls, SD

Practice location

Address: 810 E 23rd St, Sioux Falls, SD 57105-2135
Phone: (605) 977-6845
Mailing address: 1312 S Risley Cir, Sioux Falls, SD 57106-3326

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0185 (SD)

Other Specialist/Technologist providers in South Dakota →

Registry record

NPI: 1144434838
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2007
Record last updated: 8 Jul 2007

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.