MR. Wiltey Russell Kendle, ATC
NPI #1265637177 in Great Falls, Montana
Provider Information
- NPI Number
- 1265637177
- Entity Type
- Individual
- Name
- MR. Wiltey Russell Kendle, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 228 17TH AVE NW
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59404-1807
- Phone
- (406) 268-6223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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