Kyle Niswonger
Specialist/Technologist, Athletic Trainer in Holland, MI. Individual provider (NPI-1).
NPI number1215329826
StatusActive
Last updated in NPPESMay 25, 2017
Details
- NPI
- 1215329826
- Entity type
- Individual (NPI-1)
- Name
- Kyle Niswonger
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2015
- Last updated
- May 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
141 E 12th StHolland, MI 49423-3607
Phone 248-804-7447
Mailing address
2385 Millbrook CtRochester Hills, MI 48306-3144
Phone 248-804-7447
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Other Athletic Trainer providers in Holland, MI
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All 24 Athletic Trainer providers in Holland · All 2,693 providers in Holland
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