Kyle Eric Bishop, LAT,ATC,BS
NPI #1417581455 in Wentzville, Missouri
Provider Information
- NPI Number
- 1417581455
- Entity Type
- Individual
- Name
- Kyle Eric Bishop, LAT,ATC,BS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT,ATC,BS
- Enumeration Date
- Feb 28, 2020
- Last Updated
- Dec 30, 2021
Practice Location
- Address
- 754 LUETKENHAUS BLVD
- City
- Wentzville
- State
- Missouri
- ZIP Code
- 63385-3515
- Phone
- (636) 445-5001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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