Nicholas Kieswether

NPI #1134671183 in Maumee, Ohio

Provider Information

NPI Number: 1134671183
Entity Type: Individual
Name: Nicholas Kieswether
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 25, 2016
Last Updated: Oct 25, 2016

Practice Location

Address: 4361 CARNEY DR
City: Maumee
State: Ohio
ZIP Code: 43537-1809
Phone: (419) 376-4198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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