NPI 1265637177

Wiltey Russell Kendle, ATC

Practitioner Athletic Trainer Great Falls, MT

Practice location

Address: 228 17th Ave NW, Great Falls, MT 59404-1807
Phone: (406) 268-6223
Mailing address: 118 Woodland Estates Rd, Great Falls, MT 59404-6405

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Montana →

Registry record

NPI: 1265637177
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 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.